Individual provider Active NPI

Deanna Palmer, L.M.T.

  • Massage Therapist
  • Tempe, AZ
National Provider Identifier
1891102471
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-12816 Issued in AZ
Practice address
2127 E Baseline Rd
101
Tempe, AZ 85283-1537
Phone
(480) 377-1226
Fax
(480) 377-1228
NPI assigned
Jul 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-12816 AZ Primary

Addresses

Primary practice location

2127 E Baseline Rd
101
Tempe, AZ 85283-1537

Mailing address

2127 E Baseline Rd
101
Tempe, AZ 85283-1537
Phone (480) 377-1226

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

State licenses

LicenseStateTypeSpecialty
MT-12816AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Chiropractic & Acupuncture, PC PastSince Jan 1, 2013 Accepting new patients
Elevate Health Clinics LLC PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1891102471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 E BASELINE RD",
            "address_2": "101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831537",
            "telephone_number": "480-377-1226",
            "fax_number": "480-377-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 E BASELINE RD",
            "address_2": "101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831537",
            "telephone_number": "480-377-1226",
            "fax_number": "480-377-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DEANNA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-12816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.