Active NPI
Stefanie Dean Dismer Palma, PT, DPT
- Physical Therapist
- Dahlonega, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT000832
- Practice address
- 420 Walmart Way Ste B
Dahlonega, GA 30533-0818 - Phone
- (706) 482-2268
- Fax
- (706) 482-2294
- NPI assigned
- Sep 23, 2010
- Sex
- Female
- Sole proprietor
- No
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 | PT000832 | GA | Primary |
Addresses
Primary practice location
420 Walmart Way Ste B
Dahlonega, GA 30533-0818
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217
Other practice location 1
159 Sunset Dr Ste 102
Dahlonega, GA 30533
Phone (706) 482-2268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3450 Cobb Pkwy NW
Suite 210
Acworth, GA 30101-8352
Phone (770) 974-1978
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT000832 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Atlanta South Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
3450 Cobb Pkwy NW
Ste 210
Acworth, GA 30101
Phone (770) 974-1978
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
420 Walmart Way
#B
Dahlonega, GA 30533
Phone (706) 482-2268
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
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.
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Lawrenceville, GA
- NPI 1922051564
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
- Physical Therapy Clinic/Center
- Decatur, GA
- NPI 1477858108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1225346299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214915",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 WALMART WAY STE B",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305330818",
"telephone_number": "706-482-2268",
"fax_number": "706-482-2294"
}
],
"practiceLocations": [
{
"address_1": "159 Sunset Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Dahlonega",
"state": "GA",
"postal_code": "30533",
"country_code": "US",
"telephone_number": "706-482-2268",
"fax_number": "706-482-2294",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMA",
"first_name": "STEFANIE",
"middle_name": "DEAN DISMER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-23",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT000832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.