Active NPI
Jordan Estuardo Palma, DPT
- Physical Therapist
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42427
- Practice address
- 3030 Executive Dr
Venice, FL 34292-2613 - Phone
- (941) 485-1505
- Fax
- (941) 485-7495
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18617 | CO | |
| Physical Therapist | 225100000X | PT42427 | FL | Primary |
Addresses
Primary practice location
3030 Executive Dr
Venice, FL 34292-2613
Mailing address
3030 Executive Dr
Venice, FL 34292-2613
Phone (941) 485-1505
Other practice location 1
15000 W 6th Ave Unit 106-B
Golden, CO 80401-6586
Phone (720) 541-6817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3030 Executive Dr
Venice, FL 34292-2613
Phone (941) 485-1505
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.68 of 100
- Quality
- 96.09
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18617 | CO | MD | Physical Therapist |
| PT42427 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panorama Orthopedics and Spine Center PC | Current | Accepting new patients | |
| Panorama Orthopedics & Spine Center, PC | Current | Accepting new patients | |
| Suncoast Orthopaedic Surgery & Sports Medicine, P.a. | Current | Accepting new patients | |
| Panorama Orthopedics & Spine Center, PC | Current | Accepting new patients |
Locations
15530 W 64th Ave
Unit E
Arvada, CO 80007
Phone (303) 424-4589
660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321
15000 W 6th Ave
Unit 106B
Golden, CO 80401
Phone (720) 541-6817
3030 Executive Dr
Venice, FL 34292
Phone (941) 485-1505
836 Sunset Lake Blvd
Ste 205A
Venice, FL 34292
Phone (941) 485-1505
Organizations & group practices 4
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Venice, FL
- NPI 1982638730
-
- Orthopaedic Surgery Physician
- Golden, CO
- NPI 1295787950
-
- Orthopaedic Surgery Physician
- Westminster, CO
- NPI 1013537588
-
- Physical Therapy Clinic/Center
- Colorado Springs, CO
- NPI 1194390518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1114647112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 EXECUTIVE DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342922613",
"telephone_number": "941-485-1505",
"fax_number": "941-485-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 EXECUTIVE DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342922613",
"telephone_number": "941-485-1505",
"fax_number": "941-485-7495"
}
],
"practiceLocations": [
{
"address_1": "15000 W 6th Ave Unit 106-B",
"address_purpose": "LOCATION",
"city": "Golden",
"state": "CO",
"postal_code": "804016586",
"country_code": "US",
"telephone_number": "720-541-6817",
"fax_number": "720-541-6818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMA",
"first_name": "JORDAN",
"middle_name": "ESTUARDO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "18617",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT42427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.