Gregory Palmer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40040 Issued in FL

Practice address

11400 Summerlin Square Dr
Fort Myers Beach, FL 33931-5300

Phone

(239) 980-6235

Fax

(239) 314-5119

NPI assigned

Aug 24, 2019

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Male

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Islandfit Physical Therapy and Wellness LLCGroup PAC ID 9436472875, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.45 of 100Reported as group

Quality

85

Improvement activities

40

Cost

64.82

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Islandfit Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Fort Myers Beach, FL
  • NPI 1063811974
  Medicare reassignment Care Compare group NPD
• Islandfit Physical Therapy and Wellness LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Myers Beach, FL
  • NPI 1114644762
  NPD

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1881241743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 SUMMERLIN SQUARE DR",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339315300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 SUMMERLIN SQUARE DR",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339315300",
            "telephone_number": "239-980-6235",
            "fax_number": "239-314-5119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3061 State Route 28",
            "address_purpose": "LOCATION",
            "city": "Herkimer",
            "state": "NY",
            "postal_code": "133501041",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "GREGORY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Nelson, OD, IACMM
• Margarita Nemirovsky, PHARMD
• Illya Y. Novikov, DOCTOR OF DENTISTRY
• Doris Oropesa Carrillo
• Carla Jeannette Osigian Probst, M.D.
• Susan N. Park, DMD
• Syed MD Parvez
• Robert Pascuzzi, LMT
• Julio Pou Medina
• Preiss Chiropractic & Acupuncture Center II, Inc.

• Physical Therapist in Fort Myers Beach, FL
• Providers in Fort Myers Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.