Individual provider Active NPI

Yelena Palazzo, DPT

  • Pediatric Physical Therapist
  • Plainview, NY
National Provider Identifier
1861644825
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
029673 Issued in NY
Practice address
245 Newtown Rd Ste 102
Plainview, NY 11803
Phone
(516) 761-1239
Fax
(516) 802-2518
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 029673 NY Primary

Addresses

Primary practice location

245 Newtown Rd Ste 102
Plainview, NY 11803

Mailing address

245 Newtown Rd Ste 102
Plainview, NY 11803-4317
Phone (516) 761-1239

Other practice location 1

40 Oak Dr Ste 3
Syosset, NY 11791-4649
Phone (516) 491-3160

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://update.fusionwebclinic.com/ More Than A Gym

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1861644825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 NEWTOWN RD STE 102",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034317",
            "telephone_number": "516-761-1239",
            "fax_number": "516-802-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NEWTOWN RD STE 102",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "516-761-1239",
            "fax_number": "516-802-2518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Oak Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117914649",
            "country_code": "US",
            "telephone_number": "516-491-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALAZZO",
        "first_name": "YELENA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "029673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://update.fusionwebclinic.com/",
            "affiliation": "Y",
            "affiliationName": "More Than A Gym",
            "address_1": "245 Newtown Rd Ste 102",
            "city": "Plainview",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118034317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.