Jeanine Renee Palazzi, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 2488 Issued in AR

Practice address

1736 Madison 2810
Huntsville, AR 72740-8730

Phone

(123) 456-7890

NPI assigned

Dec 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Jeanine Renee Colenbaugh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1679842413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 MADISON 2810",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "72740",
            "telephone_number": "479-665-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 MADISON 2810",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727408730",
            "telephone_number": "123-456-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZZI",
        "first_name": "JEANINE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA 2488",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 22904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "COLENBAUGH",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Toni Danielle Myer, APRN
• Clyde Maxwell Norris, DC
• Sydney Elaine Oliver, PT
• Brent Owens
• Candi Owens
• Nita Christine Patrick, SLP-A
• Phillips Pediatric Therapy, LLC
• Jessica Marie Phillips, LPC
• Matthew Steven Phillips, DDS
• Catherine H Piercy, LPC

• Physical Therapy Assistant in Huntsville, AR
• Providers in Huntsville, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.