Active NPI
William Fredrick Palmer, PT,MS
- Specialist
- Kennett, MO
National Provider Identifier
1639127186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R0582
- Practice address
- 306 Recovery Rd
Kennett, MO 63857-3267 - Phone
- (573) 888-9190
- Fax
- (573) 888-9404
- NPI assigned
- May 5, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | R0582 | MO | Primary |
Addresses
Primary practice location
306 Recovery Rd
Kennett, MO 63857-3267
Mailing address
306 Recovery Rd
Kennett, MO 63857-3267
Phone (573) 888-9190
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410490 | Other | MO | GROUP # FOR HEALTHLINK |
| 1873945 | Other | MO | GROUP # FOR FIRST HEALTH |
| 120210 | Other | MO | GROUP # FOR BC/BS |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639127186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 RECOVERY RD",
"city": "KENNETT",
"state": "MO",
"postal_code": "638573267",
"telephone_number": "573-888-9190",
"fax_number": "573-888-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 RECOVERY RD",
"city": "KENNETT",
"state": "MO",
"postal_code": "638573267",
"telephone_number": "573-888-9190",
"fax_number": "573-888-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "WILLIAM",
"middle_name": "FREDRICK",
"name_prefix": "Mr.",
"credential": "PT,MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "R0582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP # FOR HEALTHLINK",
"identifier": "410490",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP # FOR FIRST HEALTH",
"identifier": "1873945",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP # FOR BC/BS",
"identifier": "120210",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.