Ian Palmer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT297428 Issued in CA

Practice address

268 Redwood Shores Pkwy
Redwood City, CA 94065-1172

Phone

(650) 591-9581

NPI assigned

Oct 10, 2019

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shadduck - Physical Therapy Works IncGroup PAC ID 6507259538, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.05 of 100Reported as group

Quality

100

Improvement activities

40

Cost

93.49

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Shadduck - Physical Therapy Works Inc

  • Physical Therapist
  • Los Altos, CA
  • NPI 1114678794
  Medicare reassignment Care Compare group NPD
• PT Works

  • Physical Therapist
  • Los Altos, CA
  • NPI 1932114519
  NPD

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1992347041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HILARY AVE",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 REDWOOD SHORES PKWY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651172",
            "telephone_number": "650-591-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "IAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Alberto Palacios Zuniga
• Gerlando Frank Palazzotto, CPNP
• Maria Golda Palencia
• Pallas Medical Services
• Palm & Needle Medical Clinic
• Owen Palmer, M.D.
• Tiffany Rae Palmer, RN
• Ying Pan, C MT
• Seokjoon Pang, D.D.S
• Manuel Benedicto Paniagua, D.C.

• Physical Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.