Active NPI
Yelena Palazzo, DPT
- Pediatric Physical Therapist
- Plainview, NY
National Provider Identifier
1861644825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 029673
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.