Lia Mae Palomino, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018091 Issued in MI

Practice address

2506 Crossing Cir Ste B
Traverse City, MI 49684-7955

Phone

(231) 388-3959

NPI assigned

Feb 7, 2017

Sex

Female

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Pelvic Rehab and Wellness LLCGroup PAC ID 0749660389, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Michigan Pelvic Rehab and Wellness L.L.C.

  dba Palomino Physical Therapy & Performance

  • Physical Therapy Clinic/Center
  • Traverse City, MI
  • NPI 1205577061

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1316485691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 CROSSING CIR STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847955",
            "telephone_number": "231-388-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 CROSSING CIR STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847955",
            "telephone_number": "231-388-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMINO",
        "first_name": "LIA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew David Palmer, PA
• Lady D Palmer
• Maciah Lily Palmer
• Mitzi Palmer IV
• Eric C Palmquist, CRNA
• Pamela Devries Grzech LMSW LLC
• Meredith Panning, BEHAVIOR TECHNICIAN
• Jessica E Paonessa, MD
• Shannon Papist, LLMSW
• Par Four Holdings, LLC (Senior Helpers of Northern Michigan)

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.