John William Palmer, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06002340A Issued in IN

Practice address

11011 Village Square LN
Fishers, IN 46038-4559

Phone

(317) 827-8153

NPI assigned

Feb 12, 2020

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1952933442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 SPLENDOR WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462343676",
            "telephone_number": "317-289-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 VILLAGE SQUARE LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384559",
            "telephone_number": "317-827-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06002340A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky Lynn Owens, NP
• Theresia Maria Paauwe, LMHC
• Carl M Pafford, MD
• Jillian J Pall, OD
• Sue Pallekonda, MD, MBBS
• Rhonda J Palmer, APRN PMHCNS
• Ryan Victor Palombit
• Sandra Yaneth Pardo
• Tina Parham-Araujo, LCSW
• Amber Parham

• Physical Therapy Assistant in Fishers, IN
• Providers in Fishers, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.