Active NPI
Dustin Palmer
- Physical Therapy Assistant
- Indianapolis, IN
National Provider Identifier
1356220560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06006519A
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260-1902 - Phone
- (317) 505-3314
- NPI assigned
- Sep 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06006519A | IN | Primary |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260-1902
Mailing address
1733 Tanglewood SQ Apt 525
Indianapolis, IN 46260-2681
Phone (847) 650-5713
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06006519A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756684800000",
"number": "1356220560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 TANGLEWOOD SQ APT 525",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602681",
"telephone_number": "847-650-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601902",
"telephone_number": "317-505-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "DUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-01",
"last_updated": "2025-09-01",
"certification_date": "2025-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06006519A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.