Tara Poloni, OTR/L

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

4316 Issued in AZ

Practice address

3970 E Riggs Rd Ste 1
Chandler, AZ 85249-5412

Phone

(480) 883-0202

NPI assigned

Apr 19, 2010

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

Not listed in the public Medicare enrollment file

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.

• Ignite Physical Therapy and Wellness

  • Physical Therapist
  • Chandler, AZ
  • NPI 1154951705
  NPD Authorized official

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1033435888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 E RIGGS RD",
            "address_2": "STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495412",
            "telephone_number": "480-883-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495412",
            "telephone_number": "480-883-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONI",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "4316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sklar Pohler, DMD
• Point of Choice Behavioral Health Inc
• Point of Choice Cares Inc
• Angela Michelle Poliak, PHARMD
• Lawrence A Pollack, M.D.
• Avril Ponce Valenzuela
• Charlyn Ponds
• Deja Ponds, BD
• Pongratz Orthotics & Prosthetics, Inc.
• Sravya Ponnapalli

• Student in an Organized Health Care Education/Training Program in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.