DR. GLEN MICHAEL PALMISANO DC NPI 1255360855

NPI Information

  • NPI: 1255360855
  • Provider Name: DR. GLEN MICHAEL PALMISANO, DC
  • Classification: Chiropractor - 111NR0400X
  • Specialization: Rehabilitation
  • Entity Type: Individual
  • Address: 633 LANDSHARK BLVD
    DAYTONA BEACH, FL
    ZIP 32124
  • Phone: (860) 585-9797

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NPI Details

DR. Glen Michael Palmisano, DC is a rehabilitation chiropractor in Daytona Beach, FL. The provider is rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. DR. Glen Michael Palmisano, DC NPI is 1255360855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

633 LANDSHARK BLVD
DAYTONA BEACH, FL
ZIP 32124-727
Phone: (860) 585-9797
Fax: (860) 589-9002

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 7/3/2006 and was last updated on 11/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCH5911FLORIDANo
2111N00000XChiropractor000681CONNECTICUTNo
3111NR0400XChiropractorRehabilitation000681CONNECTICUTNo
4111NR0400XChiropractorRehabilitation5711FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1050000681CT01OTHERCONNECTICUTANTHEM BCBS PROVIDER ID
2793437OTHERCONNECTICUTCONNECTICARE PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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