Kandra Lee Palmer, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

13685 Issued in FL

Practice address

10827 SW Stony Creek Way
Port St Lucie, FL 34987-2746

Phone

(772) 345-4960

NPI assigned

Jan 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1306236229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 5TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329689654",
            "telephone_number": "603-558-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10827 SW STONY CREEK WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872746",
            "telephone_number": "772-345-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KANDRA",
        "middle_name": "LEE",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "13685",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NH",
            "license": "0109",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VT",
            "license": "073.0097969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Paladino
• Miladys Miriam Palau Collazo, MD
• Kenneth Palestrant, M.D.
• Palm Beach Physical Medicine and Rehabilitation,LLC
• Palm Garden of Port St Lucie LLC
• Kathryn Marie Palmer
• Pamela Palmer, RPH
• Pamela E Smith Therapies, Inc.
• Randall Panckeri
• Lianny Paneque Pillo, NP-BC

• Occupational Therapy Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.