Individual provider Active NPI

Shelley Palermo, LPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1689622813
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5170 Issued in NC
Practice address
5318 Highgate Dr Ste 134
Durham, NC 27713
Phone
(919) 237-3802
Fax
(919) 237-3807
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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 5170 NC Primary

Addresses

Primary practice location

5318 Highgate Dr Ste 134
Durham, NC 27713

Mailing address

5318 Highgate Dr Ste 134
Durham, NC 27713-6631
Phone (919) 237-3802

Other practice location 1

4214 N. Roxboro Street
Suite 100
Durham, NC 27704-2122
Phone (919) 479-9001

Other identifiers 1

IdentifierTypeStateIssuer
7211955MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
5170NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of North Carolina, LLC Physical Therapist PastSince Jan 2, 2003 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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1689622813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 HIGHGATE DR STE 134",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136631",
            "telephone_number": "919-237-3802",
            "fax_number": "919-237-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 HIGHGATE DR STE 134",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-237-3802",
            "fax_number": "919-237-3807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4214 N. Roxboro Street",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042122",
            "country_code": "US",
            "telephone_number": "919-479-9001",
            "fax_number": "919-479-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALERMO",
        "first_name": "SHELLEY",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "5170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211955",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.