Mark Wesley Palmer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 2236 Issued in OK

Practice address

1115 Garth Brooks Blvd
Yukon, OK 73099-4106

Phone

(405) 354-6698

NPI assigned

Jan 16, 2006

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 OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H2 Health Oklahoma Outpatient Clinics LLCGroup PAC ID 3072562412, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• H2 Health Oklahoma Outpatient Clinics LLC

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1982683306
  Medicare reassignment Care Compare group NPD
• Valir Outpatient Clinics LLC

  • Physical Therapist
  • Shawnee, OK
  • NPI 1245765536
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1275512402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021212",
            "telephone_number": "405-609-3658",
            "fax_number": "800-506-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GARTH BROOKS BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994106",
            "telephone_number": "405-354-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MARK",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT 2236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Pacific, B.A.
• Bridgett Page
• Madison Page
• Stephanie Maria Paidoussis, LPC
• Rylee Palesano
• Tiffany Palmer, MBS, LPC
• Noemi Palomera
• Maximiliano Pando
• Carol Lee Papin, LPC-LADC-CCPC-
• Christopher Todd Park, D.C.

• Physical Therapist in Yukon, OK
• Providers in Yukon, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.