Individual provider Active NPI

Denisse Padron Palacio, PTA

  • Physical Therapy Assistant
  • Delray Beach, FL
National Provider Identifier
1518744085
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
31918 Issued in FL
Practice address
1405 S Federal Hwy Apt 146
Delray Beach, FL 33483-5053
Phone
(229) 881-2594
Fax
(561) 448-9437
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 31918 FL Primary

Addresses

Primary practice location

1405 S Federal Hwy Apt 146
Delray Beach, FL 33483-5053

Mailing address

1405 S Federal Hwy Apt 146
Delray Beach, FL 33483-5053
Phone (229) 881-2594

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

LicenseStateTypeSpecialty
31918FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mobilize Physical Therapy CurrentSince Sep 17, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1518744085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S FEDERAL HWY APT 146",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835053",
            "telephone_number": "229-881-2594",
            "fax_number": "561-448-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S FEDERAL HWY APT 146",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835053",
            "telephone_number": "229-881-2594",
            "fax_number": "561-448-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON PALACIO",
        "first_name": "DENISSE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "31918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

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

Verify at the official NPI Registry.