Edward L Palestro, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017680 Issued in OH

Practice address

1265 Boardman Canfield Rd
Boardman, OH 44512-4004

Phone

(330) 758-9400

Fax

(330) 726-8676

NPI assigned

Sep 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

80.23 of 100Reported as group

Quality

59.13

Promoting interoperability

99

Improvement activities

40

Cost

75.81

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ohio Sports & Spine Institute, LTD

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Boardman, OH
  • NPI 1962455196
  Medicare reassignment NPD
• Ohio Sports & Spine Institute, LTD

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • East Liverpool, OH
  • NPI 1760148357
  NPD

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1245712280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124004",
            "telephone_number": "330-758-9400",
            "fax_number": "330-726-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124004",
            "telephone_number": "330-758-9400",
            "fax_number": "330-726-8676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16844 Saint Clair Ave",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439204277",
            "country_code": "US",
            "telephone_number": "330-386-6500",
            "fax_number": "330-386-1277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8720 E Market St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444842364",
            "country_code": "US",
            "telephone_number": "330-758-9400",
            "fax_number": "330-726-8676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALESTRO",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Neil Oxner
• Melissa Padgett, DDS
• Rekha Padubidri, MD
• Hannah Pais, LISW
• Elena Pal-Wal, MD
• Ronanda Palmer
• Patricia Palusak
• David Pannunzio
• Vincent Paolone, MD
• Claire Mae Parker

• Physical Therapist in Boardman, OH
• Providers in Boardman, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.