Active NPI
Kathleen Palmer, DPT
- Physical Therapist
- Draper, UT
National Provider Identifier
1346793148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31664
- Practice address
- 65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096 - Phone
- (385) 308-8034
- NPI assigned
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0134558 | VT | |
| Physical Therapist | 225100000X | 050473 | NY | |
| Physical Therapist | 225100000X | PT031117 | PA | |
| Physical Therapist | 225100000X | 303975 | CA | |
| Physical Therapist | 225100000X | PT-8686 | ID | |
| Physical Therapist | 225100000X | 11164 | AL | |
| Physical Therapist | 225100000X | 40QA02158600 | NJ | |
| Physical Therapist | 225100000X | 070.027266 | IL | |
| Physical Therapist | 225100000X | 5118 | NV | |
| Physical Therapist | 225100000X | 05015016A | IN | |
| Physical Therapist | 225100000X | 1375403 | TX | |
| Physical Therapist | 225100000X | 31664 | FL | Primary |
Addresses
Primary practice location
65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Mailing address
65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Other practice location 1
1804 Oakley Seaver Dr
Clermont, FL 34711-1925
Phone (352) 989-5838
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5118 | NV | MD | General Practice Dentistry |
| 11164 | AL | MD | Pharmacist |
| 050473 | NY | MD | Pharmacist |
| 303975 | CA | MD | Physical Therapist |
| 31664 | FL | MD | Physical Therapist |
| PT-8686 | ID | MD | Physical Therapist |
| 070.027266 | IL | MD | Physical Therapist |
| 05015016A | IN | MD | Physical Therapist |
| 40QA02158600 | NJ | MD | Physical Therapist |
| PT031117 | PA | MD | Physical Therapist |
| 1375403 | TX | MD | Physical Therapist |
| 040.0134558 | VT | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1346793148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 E WADSWORTH PARK DR STE 230",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E WADSWORTH PARK DR STE 230",
"city": "DRAPER",
"state": "UT",
"postal_code": "840208096",
"telephone_number": "385-308-8034"
}
],
"practiceLocations": [
{
"address_1": "1804 Oakley Seaver Dr",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347111925",
"country_code": "US",
"telephone_number": "352-989-5838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0134558",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "050473",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT031117",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303975",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-8686",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "11164",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02158600",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.027266",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "5118",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015016A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1375403",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "31664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.