Mike John Palmisano, MS ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT112 Issued in KY

Practice address

4402 Churchman Ave
Suite 103
Louisville, KY 40215-1190

Phone

(502) 361-5253

NPI assigned

Jun 27, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Kort - Caritas Rehab Services

  • Hand Occupational Therapist
  • Louisville, KY
  • NPI 1982758728
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396772018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 WOLFPEN WOODS CT",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151190",
            "telephone_number": "502-361-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMISANO",
        "first_name": "MIKE",
        "middle_name": "JOHN",
        "credential": "MS ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyla Nicole Palmer, PHARM.D.
• Michael Palmer
• Nicole Palmer, LPCC
• Tricia Lynn Palmer, APRN
• Wesley Palmer, PHARMD
• Claudia Palomino Diaz, MD
• Pamela J Asseff, DDS, PSC
• Unknown Pami, LMT KENTUCKY #0048
• Jordan Pamplin
• Queeny Pan

• Athletic Trainer in Louisville, KY
• Providers in Louisville, KY by specialty
• Athletic Trainer in Kentucky

• 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.