Individual provider Active NPI

Katherine Palazzolo, PT

  • Physical Therapist
  • Livonia, MI
National Provider Identifier
1295965671
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010608 Issued in MI
Practice address
38777 6 Mile Rd
Suite 209
Livonia, MI 48152-2694
Phone
(734) 452-0395
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010608 MI Primary

Addresses

Primary practice location

38777 6 Mile Rd
Suite 209
Livonia, MI 48152-2694

Mailing address

505 E 6TH St
Royal Oak, MI 48067-2850
Phone (586) 212-7253

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

LicenseStateTypeSpecialty
5501010608MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Care Physical Therapy, Inc. Current Accepting new patients

Locations

30695 Little Mack Ave
Ste 600
Roseville, MI 48066
Phone (586) 294-9030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1295965671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E 6TH ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672850",
            "telephone_number": "586-212-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38777 6 MILE RD",
            "address_2": "SUITE 209",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522694",
            "telephone_number": "734-452-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZZOLO",
        "first_name": "KATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.