Active NPI
Shelley Palermo, LPT
- Physical Therapist
- Durham, NC
National Provider Identifier
1689622813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5170
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211955 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5170 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy of North Carolina, LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Durham, NC
- NPI 1760453989
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.