Kaleigh Palmisano, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

7264 Issued in TN

Practice address

514 S Brown St
Springfield, TN 37172-2937

Phone

(615) 988-4552

Fax

(615) 382-0501

NPI assigned

Jul 16, 2022

Last updated

Jul 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Shine Pediatric Therapy

  • Occupational Therapist
  • Springfield, TN
  • NPI 1891041133
  NPD (past)

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1144954967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371721637",
            "telephone_number": "615-988-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BROWN ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722937",
            "telephone_number": "615-988-4552",
            "fax_number": "615-382-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMISANO",
        "first_name": "KALEIGH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "7264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN",
            "identifier": "7264",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Springfield",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Springfield",
            "address_1": "514 S Brown St",
            "city": "Springfield",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371722937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacqueline Orr, COTA
• Orthodontists of Middle TN (About Faces and Braces)
• Orthodontists of Middle TN General Partnership (About Faces and Braces)
• Orthodontists of Middle TN PC (About Faces and Braces)
• Victoria Evelyn Ottinger, PA
• Andrew Judson Panos, M.D.
• Megan Deeta Panter, MA
• Bradley Kyle Parker, DNP, APRN, FNP-BC
• Brittany Nicole Patterson, FNP-BC
• Joel Q Peavyhouse, MD

• Pediatric Occupational Therapist in Springfield, TN
• Providers in Springfield, TN by specialty
• Pediatric Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.