Active NPI
Christopher Mark Palmer, A.T.,C.
- Athletic Trainer
- Saint Louis Park, MN
National Provider Identifier
1295961498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1210
- Practice address
- 2501 Highway 100 S
Saint Louis Park, MN 55416-1732 - Phone
- (952) 927-4176
- NPI assigned
- Jun 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1210 | MN | Primary |
Addresses
Primary practice location
2501 Highway 100 S
Saint Louis Park, MN 55416-1732
Mailing address
1053 Winslow Ave
West Saint Paul, MN 55118-1345
Phone (651) 270-6108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1210 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1295961498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 WINSLOW AVE",
"city": "WEST SAINT PAUL",
"state": "MN",
"postal_code": "551181345",
"telephone_number": "651-270-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 HIGHWAY 100 S",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554161732",
"telephone_number": "952-927-4176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "CHRISTOPHER",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "A.T.,C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-02",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "1210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.