Annette Palmgren, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

352 Issued in ND

Practice address

1425 S Columbia Rd
Grand Forks, ND 58201-4039

Phone

(701) 746-8374

Fax

(701) 780-0885

NPI assigned

Jan 3, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346307758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014039",
            "telephone_number": "701-746-8374",
            "fax_number": "701-780-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014039",
            "telephone_number": "701-746-8374",
            "fax_number": "701-780-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMGREN",
        "first_name": "ANNETTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2034",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "6405515",
            "identifier": "MEDICA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55018",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "201G8PA",
            "identifier": "BCBSMN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Ozaki
• Dawn Michelle Page, NP
• Kristy Page
• Sarah Ann Pahlen
• Paul C Palecek, MD
• Rebecca O Palomar
• Gaudencia Palomo-Burns, LCSW
• Durga Prasad Panda, MD
• John David Pangburn
• Kevin G Panico, MD

• Physical Therapist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.