Active NPI
Michelle Danielle Palmowski
- Physical Therapist
- Baldwinsville, NY
National Provider Identifier
1811669823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047857
- Practice address
- 15 E Genesee St Ste 130
Baldwinsville, NY 13027-2544 - Phone
- (315) 635-5000
- NPI assigned
- Sep 29, 2021
- Last updated
- Nov 18, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 047857 | NY | Primary |
Addresses
Primary practice location
15 E Genesee St Ste 130
Baldwinsville, NY 13027-2544
Mailing address
6723 Towpath Rd
East Syracuse, NY 13057-9506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211102000189 | NY | Practitioner - Physical Therapist in Private Practice | 3173911773 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1811669823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6723 TOWPATH RD",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E GENESEE ST STE 130",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130272544",
"telephone_number": "315-635-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMOWSKI",
"first_name": "MICHELLE",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwinsville, NY
- Jessica Owens
- Emily Grace Page
- Deborah Anne Palczynski-Savacool
- Palma and Nardozza Dental Services (Baldwinsville Gentle Dentistry)
- Palma and Nardozza Dental Services, PC (Baldwinsville Gentle Dentistry)
- Stacy Pappert, LPN
- Park Terrace Operating, LLC
- Caterina Anne Pastore, M.A.CCC/SLP
- Zavia Chanel Pate
- Paths to Recovery Mental Health Counseling PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.