Organization Active NPI

Polito Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Pasadena, CA
National Provider Identifier
1043366073
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
POLITO PHYSICAL THERAPY, INC.
Practice address
39 Congress St
Suite 303
Pasadena, CA 91105-3024
Phone
(626) 449-5005
Fax
(626) 449-5025
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Christopher Polito, P.T.NPI 1588710560
Title
President
Phone
(626) 449-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

39 Congress St
Suite 303
Pasadena, CA 91105-3024

Mailing address

39 Congress St
Suite 303
Pasadena, CA 91105-3024
Phone (626) 449-5005

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ64425ZOtherCABLUE SHIELD GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000589 CA Part B Supplier - Clinic/Group Practice 6709836554 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

301 S Fair Oaks Ave
Ste 402
Pasadena, CA 91105
Phone (626) 389-8005

65 N Madison Ave
Ste 505
Pasadena, CA 91101
Phone (626) 449-5005

39 Congress St
Ste 304
Pasadena, CA 91105
Phone (626) 449-5005

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1043366073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST",
            "address_2": "SUITE 303",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053024",
            "telephone_number": "626-449-5005",
            "fax_number": "626-449-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST",
            "address_2": "SUITE 303",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053024",
            "telephone_number": "626-449-5005",
            "fax_number": "626-449-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLITO PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "POLITO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-449-5005",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ64425Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.