MS. LISA MARIE PALAZZOLO (DPT, ATC) – Sports Physical Therapist, NPI 1316916364

MS. LISA MARIE PALAZZOLO (DPT, ATC) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, ATC. They hold a License No. 070-014318 (IL). The NPI Number for MS. LISA MARIE PALAZZOLO (DPT, ATC) is 1316916364

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA MARIE PALAZZOLO (DPT, ATC)
NPI
1316916364
Phone
(734) 330-4486
Address
236 W WILLOW ST
Enumeration Date
14 March 2006
Last Update Date
10 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084829320
Graduation Year
2004 (22 years ago)
PAC ID
9931351467
Group Practice PAC ID
4789602681
Professional Enrollment ID
I20121210000202
Address ID
IL605265623LA407XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MS. LISA MARIE PALAZZOLO (DPT, ATC)

  • 236, West Willow Street, Old Town Triangle, Lincoln Park, Chicago, North Chicago Township, Cook County, Illinois, 60614, United States

    COACH HOUSE

    CHICAGO, IL 606145769

    Phone: (734) 330-4486

    Type: Mailing

  • 909, Davis Street, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 602080001

    Phone: (847) 733-7906

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121210000202IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes87286$0
97530Therapy procedure using functional activities64680$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes53682$0
View full utilization report →

Insurance plans in this area (ZIP 60614)

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Provider's Procedures

MS. LISA MARIE PALAZZOLO (DPT, ATC) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97001Physical therapy evaluation2623

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789602681View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeVA
-MI
-IL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
-MI

Reviews

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Frequently asked questions

Where can patients find MS. LISA MARIE PALAZZOLO (DPT, ATC)'s NPI?
You can confirm MS. LISA MARIE PALAZZOLO (DPT, ATC) with NPI 1316916364; it appears in the national provider directory.
Is MS. LISA MARIE PALAZZOLO (DPT, ATC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MS. LISA MARIE PALAZZOLO (DPT, ATC) treat or focus on?
Patients typically see MS. LISA MARIE PALAZZOLO (DPT, ATC) under the specialty Sports Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MS. LISA MARIE PALAZZOLO (DPT, ATC)'s primary listing?
We display Chicago, Illinois because that is what the record indicates for MS. LISA MARIE PALAZZOLO (DPT, ATC).
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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