Melissa Sofia Poelman, OTR/L

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

422 N Northwest Hwy Ste 210
Park Ridge, IL 60068-3273

Phone

(847) 699-9757

NPI assigned

Nov 16, 2021

Sex

Female

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 IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • North Riverside, IL
  • NPI 1699094102
  Medicare reassignment NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354
  NPD
• Assential Therapies Inc

  • Clinic/Center
  • Niles, IL
  • NPI 1760531123
  NPD (past)

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1023774841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 EAGLE DR APT 101",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600074730",
            "telephone_number": "630-991-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N NORTHWEST HWY STE 210",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683273",
            "telephone_number": "847-699-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POELMAN",
        "first_name": "MELISSA",
        "middle_name": "SOFIA",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Russell Pluhar-Schaeffer, LCSW
• PMRC Services, LLC
• Podiatric Management Systems LLC
• Jeffrey John Podnar, MD
• Nancy Sue Poeling, APN, CNS
• Marta Polakowski
• Joanna Pienkowski Polk, MSW,LCSW
• Raymond A Pollina, DDS
• Kendra Pollizze, OT
• Raja Ram Poludasu, M.D.

• Early Intervention Provider Agency in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.