MS. LISA MARIE PALAZZOLO DPT, ATC
NPI 1316916364
Physical Therapist - Sports in Evanston, IL

Q: What is Lisa Palazzolo's NPI number?

The NPI number for Lisa Palazzolo is 1316916364. It was assigned to this individual provider in the NPPES registry on March 14, 2006. The provider is also known as Lisa Marie Knakiewicz Dpt, Atc.

Q: What is Lisa Palazzolo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Palazzolo was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2006Accepts Medicare Assignment

92.76/100

CMS Quality Rating

909 DAVIS ST, EVANSTON, IL 60208(847) 733-7906 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ms. Lisa Marie Palazzolo Dpt, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA MARIE PALAZZOLO DPT, ATC (NPI 1316916364) is an individual sports provider in Evanston, Illinois, licensed in Illinois (070-014318) and active in the NPI registry since March 2006. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1316916364

Entity TypeIndividualFemale

Primary Taxonomy2251S0007X

Provider Legal NameMS. LISA MARIE PALAZZOLOCredential: DPT, ATC

Location Address909 DAVIS STEvanston, IL 60208-0001

Mailing Address236 W Willow St, Coach HouseChicago, IL 60614-5769 · (734) 330-4486

Phone(847) 733-7906

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 14, 2006

Last NPPES UpdateDecember 10, 2012

✔ NPI 1316916364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in IL · 070-014318

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 096-002104 (IL)

909 DAVIS ST, Evanston, IL 60208

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Other Names 1

Former Name (1)Lisa Marie Knakiewicz Dpt, Atc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Marie Palazzolo Dpt, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931351467

PECOS Enrollment IDI20121210000202

Medicare Billing Reassignment

Medicare enrollment records show Lisa Palazzolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Athletico Ltd

19 mi

Physical Therapist

2122 YORK RD STE 300
Oak Brook, IL 60523

Reassigned Medicare billing, Illinois enrollment
1,298 clinicians in this Medicare group

NPI 1821085028 (630) 575-1980

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

1,163 services108 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

1,089 services107 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

975 services108 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.48

Improvement Activities

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Palazzolo's NPI number?

The NPI number for Lisa Palazzolo is 1316916364. It was assigned to this individual provider in the NPPES registry on March 14, 2006. The provider is also known as Lisa Marie Knakiewicz Dpt, Atc.

Where is Lisa Palazzolo located?

Lisa Palazzolo practices at 909 Davis St, Evanston, IL 60208. The listed phone number is (847) 733-7906.

What is Lisa Palazzolo's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Lisa Palazzolo enrolled in Medicare?

Yes. Lisa Palazzolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Palazzolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Palazzolo reassigns Medicare benefits to Athletico Ltd (Oak Brook, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Palazzolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Palazzolo was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.