Shannon K Palmer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006213 Issued in VA

Practice address

10503 Braddock Rd Ste a
Fairfax, VA 22032-2244

Phone

(703) 865-5893

Fax

(703) 865-5891

NPI assigned

Sep 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Work Rehab Center, LLCGroup PAC ID 3870969397, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Work Rehab Center, LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1548676307

  DC

  Medicare reassignment Care Compare group NPD
• Body Mechanix and Beyond LLC

  • Physical Therapist
  • Annandale, VA
  • NPI 1699396317
  NPD (past)
• I-Care, Inc.

  • Home Health Agency
  • Fairfax, VA
  • NPI 1811032337
  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1831408608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 BRADDOCK RD STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322244",
            "telephone_number": "703-865-5893",
            "fax_number": "703-865-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 BRADDOCK RD STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322244",
            "telephone_number": "703-865-5893",
            "fax_number": "703-865-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SHANNON",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalima Ekundayo Palmer
• Eric Palmer
• Flavia Bueno Palmer, PHYSICAL THERAPIST
• Kristin Linn Palmer, PT, DPT
• Minyon C Palmer
• Palmercare Chiropractic Fairfax City, Inc
• Palmercare Chiropractic Fairfax LLC
• Elizabeth Palumbo, M.D.
• David Panboon, APA-C
• Hilary Keith Pandak, DDS

• Physical Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.