Active NPI
Christopher J Palmer
- Physical Therapist
- Bel Air, MD
National Provider Identifier
1477096758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26243
- Practice address
- 12 Medstar Blvd Ste 325
Bel Air, MD 21015-1817 - Phone
- (410) 877-8078
- Fax
- (410) 877-8079
- NPI assigned
- Nov 18, 2016
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 26243 | MD | Primary |
Addresses
Primary practice location
12 Medstar Blvd Ste 325
Bel Air, MD 21015-1817
Mailing address
12 Medstar Blvd Ste 325
Bel Air, MD 21015-1817
Phone (410) 877-8078
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 |
|---|---|---|---|
| 26243 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Fitness Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Life Fitness Physical Therapy LLC | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapist
- Ellicott City, MD
- NPI 1285882670
-
- Physical Therapist
- Owings Mills, MD
- NPI 1437495439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1477096758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MEDSTAR BLVD STE 325",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210151817",
"telephone_number": "410-877-8078",
"fax_number": "410-877-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 MEDSTAR BLVD STE 325",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210151817",
"telephone_number": "410-877-8078",
"fax_number": "410-877-8079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.