Active NPI
Ashley Palmer
- Pediatric Rehabilitation Medicine Physician
- Danbury, CT
National Provider Identifier
1982226619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- 004404
- Practice address
- 235 Main St
Danbury, CT 06810-6673 - Phone
- (203) 730-5900
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 004404 | CT | Primary |
Addresses
Primary practice location
235 Main St
Danbury, CT 06810-6673
Mailing address
235 Main St
Danbury, CT 06810-6673
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Danbury | ||
| CONNECT URL | Danbury |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004404 | CT | MD | Pediatric Rehabilitation Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Past | Accepting new patients | |
| Danbury Hospital | Past | 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.
-
- General Acute Care Hospital
- New Milford, CT
- NPI 1619938016
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1982226619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 MAIN ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 MAIN ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106673",
"telephone_number": "203-730-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-15",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "CT",
"license": "004404",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Danbury",
"affiliation": "N",
"address_1": "235 Main St",
"city": "Danbury",
"state": "CT",
"country_code": "US",
"postal_code": "068106673",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Danbury",
"affiliation": "N",
"address_1": "235 Main St",
"city": "Danbury",
"state": "CT",
"country_code": "US",
"postal_code": "068106673",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.