Nicole Palanza, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02127400 Issued in NJ

Practice address

424 S Main St
Forked River, NJ 08731-4654

Phone

(609) 971-4500

NPI assigned

Aug 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thompson Medical and Chiropractic LLCGroup PAC ID 5395008163, 48 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.

• Thompson Medical and Chiropractic LLC

  • Physical Medicine & Rehabilitation Physician
  • Forked River, NJ
  • NPI 1942755103

  NJ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Thompson Medical and Chiropractic LLC

  • Physical Medicine & Rehabilitation Physician
  • Manahawkin, NJ
  • NPI 1588154421
  Care Compare group
• Thompson Medical and Chiropractic LLC

  • Physical Medicine & Rehabilitation Physician
  • Bayville, NJ
  • NPI 1861982605
  Care Compare group
• Thompson Medical and Chiropractic LLC

  • Physical Medicine & Rehabilitation Physician
  • Barnegat, NJ
  • NPI 1932794500
  Care Compare group
• Thompson Medical and Chiropractic LLC

  • Physical Medicine & Rehabilitation Physician
  • Wall Township, NJ
  • NPI 1215604103
  NPD

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1295565828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CAPSTAN DR",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312019",
            "telephone_number": "845-238-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314654",
            "telephone_number": "609-971-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANZA",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048467",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02127400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Patrick Olowiany, D.C
• Optical Connection Incorporated
• Orthodontics @ Forked River
• Orthonj LLC
• Elizabeth Anne Packi, DO
• Agnieszka Palecki, MD
• John William Paluk, DC
• Shivani Pandey
• Manoj Parikh, M.D.
• Marie Parise, LCSW

• All providers in Forked River, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.