Michelle Lynn Palmer, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01124400 Issued in NJ

Practice address

101 Executive Dr
Suite 8
Moorestown, NJ 08057-4236

Phone

(856) 778-4400

Fax

(856) 793-1759

NPI assigned

Jul 21, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breakthru Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Medford, NJ
  • NPI 1083750624

  Physical Therapist

  NPD (past)
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1104825082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE DR",
            "address_2": "SUITE 8",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574236",
            "telephone_number": "856-778-4400",
            "fax_number": "856-793-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE DR",
            "address_2": "SUITE 8",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574236",
            "telephone_number": "856-778-4400",
            "fax_number": "856-793-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010060L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01124400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Ortolano
• Amanda Ott, PT, DPT
• Mariam D Oweis, PA-C
• Alexander Michael Pachella, PT, DPT
• Queency Paes, FNP-BC
• Emily N Panciera, MSOT, OTR/L
• Ipsit Pandya, M.D.
• Cynthia Pappaterra, LCADC
• Andrew Parkin, PT, DPT
• Grant H Parnagian, D.C.

• Physical Therapist in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.