Individual provider Active NPI

Erica Danyelle Palmer, DPT

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1992288237
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212406 Issued in VA
Practice address
5695 King Centre Dr Ste 102
Alexandria, VA 22315-5746
Phone
(703) 924-2650
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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 2305212406 VA Primary

Addresses

Primary practice location

5695 King Centre Dr Ste 102
Alexandria, VA 22315-5746

Mailing address

2743 Manhattan PL
Vienna, VA 22180-7345
Phone (504) 782-7939

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Your Way PLLC 12 clinicians
Back in Motion Physical Therapy LLC 22 clinicians

Practice addresses (Care Compare)

5695 King Centre Dr
Suite 102
Alexandria, VA 22315-5746
Phone (703) 372-5715

9447 B Lorton Market St
Lorton, VA 22079-1963
Phone (703) 372-5716

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181029000147 DC Practitioner - Physical Therapist in Private Practice 4082967724 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Your Way PLLC CurrentSince Feb 18, 2019 Accepting new patients
Back in Motion Physical Therapy LLC Physical Therapist CurrentSince Sep 14, 2018 Accepting new patients

Locations

5695 King Centre Dr
Ste 102
Alexandria, VA 22315
Phone (571) 312-6966

9447B Lorton Market St
#250
Lorton, VA 22079
Phone (703) 372-5716

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1992288237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 MANHATTAN PL",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221807345",
            "telephone_number": "504-782-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5695 KING CENTRE DR STE 102",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155746",
            "telephone_number": "703-924-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ERICA",
        "middle_name": "DANYELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.