Active NPI
Layne Palm, DC
- Rehabilitation Chiropractor
- Austin, TX
National Provider Identifier
1922617075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 14456
- Practice address
- 4401 Freidrich LN Ste 301
Austin, TX 78744-1852 - Phone
- (815) 978-1599
- NPI assigned
- Jul 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 14456 | TX | Primary |
| Chiropractor | 111N00000X | 14456 | TX |
Addresses
Primary practice location
4401 Freidrich LN Ste 301
Austin, TX 78744-1852
Mailing address
PO Box 700688
San Antonio, TX 78270-0688
Phone (210) 477-7654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14456 | Other | TX | TEXAS BOARD OF CHIROPRACTIC |
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 |
|---|---|---|---|
| 14456 | TX | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1922617075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700688",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782700688",
"telephone_number": "210-477-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 FREIDRICH LN STE 301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787441852",
"telephone_number": "815-978-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALM",
"first_name": "LAYNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-24",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "14456",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14456",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF CHIROPRACTIC",
"identifier": "14456",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.