Active NPI
Rodelio U Palao
- Physical Therapist
- Dillsboro, IN
National Provider Identifier
1104410489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013957A
- Practice address
- 12803 Lenover St
Dillsboro, IN 47018-9418 - Phone
- (812) 432-5226
- NPI assigned
- Feb 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05013957A | IN | Primary |
Addresses
Primary practice location
12803 Lenover St
Dillsboro, IN 47018-9418
Mailing address
2249 Apache Dr Apt 4
Madison, IN 47250-1970
Phone (786) 252-8250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013957A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1104410489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2249 APACHE DR APT 4",
"city": "MADISON",
"state": "IN",
"postal_code": "472501970",
"telephone_number": "786-252-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12803 LENOVER ST",
"city": "DILLSBORO",
"state": "IN",
"postal_code": "470189418",
"telephone_number": "812-432-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAO",
"first_name": "RODELIO",
"middle_name": "U",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-26",
"last_updated": "2021-02-26",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013957A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dillsboro, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.