Active NPI
Erica Danyelle Palmer, DPT
- Physical Therapist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212406
- 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
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 |
|---|---|---|---|---|
| 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.
-
- Physical Therapist
- Lorton, VA
- NPI 1992730469
DC, Physical Therapist
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 PLLCBack in Motion Physical Therapy LLC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Your Way PLLC | Current | Accepting new patients | |
| Back in Motion Physical Therapy LLC | Physical Therapist | Current | 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.