Joseph Ryan Palmer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23692 Issued in MD

Practice address

4337 Ebenezer Rd
Nottingham, MD 21236-2143

Phone

(410) 529-3303

Fax

(410) 529-7980

NPI assigned

Jul 18, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WP-PT, LLCGroup PAC ID 1153609235, 10 clinicians

Active Life and Sports Therapy LLCGroup PAC ID 5193711927, 10 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.

• Active Life & Sports Therapy LLC

  • Physical Therapist
  • Nottingham, MD
  • NPI 1396836052
  Medicare reassignment Care Compare group NPD Authorized official
• WP-PT LLC

  • Physical Therapist
  • Lutherville, MD
  • NPI 1043663206
  Medicare reassignment Care Compare group NPD Authorized official
• WP-PT LLC

  • Physical Therapy Clinic/Center
  • Jacksonville, MD
  • NPI 1982356671
  NPD Authorized official

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1982992467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 EUNICE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141809",
            "telephone_number": "410-949-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 EBENEZER RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-529-3303",
            "fax_number": "410-529-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JOSEPH",
        "middle_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MARYLAND",
            "identifier": "KCH3",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ogechukwu P Ozo-Onyali
• Mary Ellen Padusi, O.D.
• Sharon Page
• Gabriella Pagnotta, LCPC
• Leonilo Fajardo Pallasigui
• Ilynne D Panopio
• Paradise 2 PRP LLC
• Paradise Omhc
• Bailey Pararas, LMSW
• Kamryn Parker

• Physical Therapist in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.