Active NPI
Lisa A. De Palma, P.T.
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
National Provider Identifier
1881636504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 23615
- Practice address
- 4600 Middleton Park Cir E
Jacksonville, FL 32224-5691 - Phone
- (904) 223-6100
- NPI assigned
- Jun 11, 2006
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 23615 | FL | Primary |
Addresses
Primary practice location
4600 Middleton Park Cir E
Jacksonville, FL 32224-5691
Mailing address
268 Waters Edge Dr S
Ponte Vedra Beach, FL 32082-2579
Phone (904) 460-7415
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23615 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Home Care, LLC | Single Specialty | Current | Accepting new patients |
| Advance Physical Therapyand Fitness Inc. | Single Specialty | Past | Accepting new patients |
| Park Physical Therapy Associates,Inc. | Single Specialty | Past | Accepting new patients |
| Adaptive Home Therapy, Inc. | Single Specialty | Past | Accepting new patients |
| Garden State Spine and Pain Institute LLC | Single Specialty | Past | Accepting new patients |
| Spine and Sports Rehab. Institute | Single Specialty | Past | Accepting new patients |
| Anil K Gupta MD PA | Single Specialty | Past | Accepting new patients |
Locations
1041 State Route 36
Atlantic Highlands, NJ 07716
Phone (732) 291-0710
127 Bath Ave
Long Branch, NJ 07740
Phone (732) 483-0430
Organizations & group practices 7
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.
-
- Physical Therapist
- Neptune, NJ
- NPI 1801016746
Single Specialty
-
- Chiropractor
- Eatontown, NJ
- NPI 1023196094
Single Specialty
-
- Physical Therapist
- Highland Park, NJ
- NPI 1194872028
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1881636504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 WATERS EDGE DR S",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320822579",
"telephone_number": "904-460-7415",
"fax_number": "732-229-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MIDDLETON PARK CIR E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322245691",
"telephone_number": "904-223-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE PALMA",
"first_name": "LISA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "23615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.