Individual provider Active NPI

Jaime A Del Palazzo, PT

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1174016141
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216683 Issued in VA
Practice address
4208A Franklin Rd SW
Roanoke, VA 24014-5258
Phone
(540) 446-0189
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT027001 PA
Physical Therapist 225100000X 2305216683 VA Primary

Addresses

Primary practice location

4208A Franklin Rd SW
Roanoke, VA 24014-5258

Mailing address

PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050

Other practice location 1

163 Pottstown Pike
Chester Springs, PA 19425-9518
Phone (610) 458-6464

Other practice location 2

133 Market Center Way
Ste 2
Daleville, VA 24083-3284
Phone (540) 242-3017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190102000307 PA Practitioner - Physical Therapist in Private Practice 9537404124 Reassigns benefits to 3 organizations
I20241108003028 VA Practitioner - Physical Therapist in Private Practice 9537404124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

4668 Pembroke Blvd
Suite 115
Virginia Beach, VA 23455-6423
Phone (757) 648-8562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Jul 22, 2019 Accepting new patients
Kinetic Physical Therapy, LLC Physical Therapist CurrentSince Nov 20, 2018 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

163 Pottstown Pike
Chester Springs, PA 19425
Phone (610) 458-6464

156 Airport Rd
Coatesville, PA 19320
Phone (267) 351-2215

415 McFarlan Rd
Ste 213
Kennett Square, PA 19348
Phone (484) 730-8016

1130 McDermott Dr
West Chester, PA 19380
Phone (610) 430-3545

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

133 Market Center Way
Ste 2
Daleville, VA 24083
Phone (540) 242-3017

4208 Franklin Rd SW
#A
Roanoke, VA 24014
Phone (540) 446-0189

4668 Pembroke Blvd
Ste 115
Virginia Beach, VA 23455
Phone (757) 648-8562

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1174016141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208A FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145258",
            "telephone_number": "540-446-0189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Pottstown Pike",
            "address_purpose": "LOCATION",
            "city": "Chester Springs",
            "state": "PA",
            "postal_code": "194259518",
            "country_code": "US",
            "telephone_number": "610-458-6464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Market Center Way",
            "address_2": "STE 2",
            "address_purpose": "LOCATION",
            "city": "Daleville",
            "state": "VA",
            "postal_code": "240833284",
            "country_code": "US",
            "telephone_number": "540-242-3017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL PALAZZO",
        "first_name": "JAIME",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027001",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.