Active NPI
Joshua David Palmer, PTA
- Physical Therapy Assistant
- Columbus, OH
National Provider Identifier
1518352194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.07827
- Practice address
- 1905 Parsons Ave
Columbus, OH 43207 - Phone
- (614) 586-4159
- Fax
- (614) 586-4252
- NPI assigned
- Apr 1, 2015
- Last updated
- May 29, 2018
- 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 Therapy Assistant | 225200000X | PTA.07827 | OH | Primary |
Addresses
Primary practice location
1905 Parsons Ave
Columbus, OH 43207
Mailing address
2780 Airport Drive
Suite 100 - Billing/Credentialing Dept.
Columbus, OH 43219-2289
Phone (614) 645-5500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13522026 | Other | OH | CAQH |
| PTA.07827 | Other | OH | OCC THERAPY, PHYS THERAPY, & ATHLETIC TRAINERS BOARD |
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 |
|---|---|---|---|
| PTA.07827 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1518352194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 AIRPORT DRIVE",
"address_2": "SUITE 100 - BILLING/CREDENTIALING DEPT.",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432192289",
"telephone_number": "614-645-5500",
"fax_number": "614-645-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 PARSONS AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43207",
"telephone_number": "614-586-4159",
"fax_number": "614-586-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JOSHUA",
"middle_name": "DAVID",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-01",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA.07827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13522026",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCC THERAPY, PHYS THERAPY, & ATHLETIC TRAINERS BOARD",
"identifier": "PTA.07827",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.