Carla Marie Cornett Palmer, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL0018516 Issued in CO

Practice address

4770 Baseline Rd Ste 120
Boulder, CO 80303-2667

Phone

(303) 529-7664

NPI assigned

Oct 30, 2007

Last updated

Aug 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, FL, NM3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Desire.Sante, LLCGroup PAC ID 3375869936, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Desire.Sante, LLC

  • Physical Therapist
  • Las Cruces, NM
  • NPI 1811395387
  Medicare reassignment Care Compare group NPD
• Pelvic Therapy Specialists, PC

  • Physical Therapy Clinic/Center
  • Boulder, CO
  • NPI 1699958306

  Physical Therapist

  Medicare reassignment NPD
• Radical Medical Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1003695008

  Physical Therapist

  NPD (past)
• Regional Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Tallahassee, FL
  • NPI 1588620355
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1619156304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2847",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241432847",
            "telephone_number": "540-505-4281",
            "fax_number": "229-890-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BASELINE RD STE 120",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032667",
            "telephone_number": "303-529-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CARLA",
        "middle_name": "MARIE CORNETT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23575",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0018516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palette of Hope Counseling
• Chris Matthew Paliszewski, ND, LMT
• Ann Pallasch III, MA, LPC
• Neal J Palles, LCSW
• Carol Joan Palm, RN
• Doris Palmer, PTA
• Robert J Palmer, D.C.
• Suzanne Palmer
• Tamra Palmer
• Palo Community Healthcare, LLC (Winding Trails Post Acute)

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.