Individual provider Active NPI

Nikolette Palmer, PT, DPT

  • Physical Therapist
  • Clinton Township, MI
National Provider Identifier
1922714252
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501301987 Issued in MI
Practice address
42804 Garfield Rd
Clinton Township, MI 48038-1656
Phone
(586) 323-2957
Fax
(586) 323-0022
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501301987 MI Primary

Addresses

Primary practice location

42804 Garfield Rd
Clinton Township, MI 48038-1656

Mailing address

42804 Garfield Rd
Clinton Township, MI 48038-1656
Phone (586) 323-2957

Other identifiers 1

IdentifierTypeStateIssuer
5501301987OtherMIPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601003208 MI Practitioner - Physical Therapist in Private Practice 9537526702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Michigan Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Systems IncGroup PAC ID 3870481740, 26 clinicians

Practice addresses (Care Compare)

43740 Garfield Rd
Clinton Township, MI 48038-1122
Phone (586) 228-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Systems Inc Physical Therapist CurrentSince Nov 25, 2024 Accepting new patients
Crawl Walk Jump Run Therapy Clinic LLC Physical Therapist CurrentSince May 14, 2023 Accepting new patients
Crawl Walk Jump Run Therapy Clinic PastSince Feb 8, 2023 Accepting new patients
Total Health Systems Inc PastSince Nov 25, 2024 Accepting new patients

Locations

26672 Van Dyke Ave
Center Line, MI 48015
Phone (586) 716-8485

28098 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 949-0123

42850 Garfield Rd
Ste 103
Clinton Township, MI 48038
Phone (586) 263-0222

42804 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 323-2457

43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270

Organizations & group practices 4

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1922714252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42804 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381656",
            "telephone_number": "586-323-2957",
            "fax_number": "586-323-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42804 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381656",
            "telephone_number": "586-323-2957",
            "fax_number": "586-323-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "NIKOLETTE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501301987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "5501301987",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.