Nicole Medina Palermo, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42429 Issued in CA

Practice address

5910 Pacific Ave
Stockton, CA 95207-4704

Phone

(209) 475-1000

NPI assigned

Aug 6, 2015

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Sports Physical Therapy Centers IncGroup PAC ID 7618956889, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• California Sports Physical Therapy Centers, Inc.

  • Physical Therapist
  • Monterey, CA
  • NPI 1467436329
  Medicare reassignment Care Compare group NPD
• Parisa Refaat Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Long Beach, CA
  • NPI 1740427673
  Medicare reassignment

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1962888404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 N HUNTER ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043710",
            "telephone_number": "951-733-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074704",
            "telephone_number": "209-475-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALERMO",
        "first_name": "NICOLE",
        "middle_name": "MEDINA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2022-05-27",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Palacios
• Luis Gerardo Palacios
• Margarita Palacios
• Divina Palafox, LPT
• David Paler, PA-C
• Michelle Ann Pallen
• Kristopher Pallesen, PTA
• Gina M Pallotta, PH.D.
• Igal Palma, DPM
• Johana Marcilia Palma

• Physical Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.