Individual provider Active NPI

Alan Palmer, PT, MS, CSCS

  • Orthopedic Physical Therapist
  • W Coxsackie, NY
National Provider Identifier
1467520676
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
018890-1 Issued in NY
Practice address
11831 Route 9W
W. Coxsackie, NY 12192
Phone
(518) 731-1157
NPI assigned
Dec 4, 2006
Last updated
Sep 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 018890-1 NY Primary

Addresses

Primary practice location

11831 Route 9W
W. Coxsackie, NY 12192

Mailing address

224 Ingalside Rd
Greenville, NY 12083-2038

Other identifiers 1

IdentifierTypeStateIssuer
02461654MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000151 NY Practitioner - Physical Therapist in Private Practice 9931094752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coxsackie Physical Therapy Associates, PCGroup PAC ID 4789579509, 4 clinicians

Practice addresses (Care Compare)

247 Main St
Unit 2
Cairo, NY 12413-3105
Phone (518) 622-2900

Merit-based Incentive Payment System (MIPS)

Final score
23.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
018890-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cocozzo Physical Therapy, PC Orthopedic Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1467520676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 INGALSIDE RD",
            "city": "GREENVILLE",
            "state": "NY",
            "postal_code": "120832038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11831 ROUTE 9W",
            "city": "W. COXSACKIE",
            "state": "NY",
            "postal_code": "12192",
            "telephone_number": "518-731-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PT, MS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "018890-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02461654",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Coxsackie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.