Palermo Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

0257731 Issued in NY

Legal business name

PALERMO PHYSICAL THERAPY PLLC

Practice address

99 Jericho Tpke
Suite 305
Jericho, NY 11753-1073

Phone

(516) 280-8044

Fax

(516) 280-8045

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Marco Luigi Palermo, DPTNPI 1356392468

Title

Director Owner

Phone

(516) 280-8044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marco Luigi Palermo, DPT

  • Physical Therapist
  • Jericho, NY
  • NPI 1356392468
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1730210592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JERICHO TPKE STE 100",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531015",
            "telephone_number": "516-280-8044",
            "fax_number": "516-280-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JERICHO TPKE",
            "address_2": "SUITE 305",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531073",
            "telephone_number": "516-280-8044",
            "fax_number": "516-280-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALERMO PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PALERMO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "LUIGI",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "516-280-8044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0257731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Obergh II, P.T.
• John Ondrush
• Optum Urgent Care, PLLC
• P.D.M Family Dental, P.C.
• Urmila Pai, MD
• Marco Luigi Palermo, DPT
• Paramount Medical Services,P.C.
• Priscilla Pareja
• Benita S Park
• Karen Park, RPH

• Physical Therapy Clinic/Center in Jericho, NY
• Providers in Jericho, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.