Individual provider Active NPI

Joshua L. Palcic, MSPT

  • Physical Therapist
  • Highland Hills, OH
National Provider Identifier
1588865083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010067 Issued in OH
Practice address
4255 Northfield Rd
Highland Hills, OH 44128-2811
Phone
(216) 292-9700
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010067 OH Primary

Addresses

Primary practice location

4255 Northfield Rd
Highland Hills, OH 44128-2811

Mailing address

86 Church St
Bellville, OH 44813-1147
Phone (419) 886-4992

Other identifiers 1

IdentifierTypeStateIssuer
0028740MedicaidOH

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588865083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CHURCH ST",
            "city": "BELLVILLE",
            "state": "OH",
            "postal_code": "448131147",
            "telephone_number": "419-886-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 NORTHFIELD RD",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441282811",
            "telephone_number": "216-292-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALCIC",
        "first_name": "JOSHUA",
        "middle_name": "L.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "010067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Hills, OH

Sources for this page

  • 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.