Paul P Polak, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010398 Issued in PA

Practice address

4660 State Route 51 Ste 4
Rostraver Township, PA 15012-4330

Phone

(412) 532-8552

NPI assigned

Feb 9, 2011

Last updated

Aug 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legault Chiropractic PCGroup PAC ID 8022441179, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legault Chiropractic, PC

  • Chiropractor
  • Pittsburgh, PA
  • NPI 1962794099
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1043516065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150220027",
            "telephone_number": "412-532-8552",
            "fax_number": "724-483-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 STATE ROUTE 51 STE 4",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124330",
            "telephone_number": "412-532-8552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Fallowfield Ave",
            "address_purpose": "LOCATION",
            "city": "Charleroi",
            "state": "PA",
            "postal_code": "150221981",
            "country_code": "US",
            "telephone_number": "724-483-4834",
            "fax_number": "724-483-0318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLAK",
        "first_name": "PAUL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-09",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026003000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ospta Home, LLC
• Sherese Pearl, RPH
• Amber Peden, MS, LAT, ATC
• Kristina Petrovich
• Physical Therapy Worx LLC (PTX)
• Monica S Ringer, NP
• Amber Renee Roche, CRNP
• Shobha Asthana MD PC
• Rosemary Slate, LMT
• Rosemary Sowa

• Chiropractor in Rostraver Township, PA
• Providers in Rostraver Township, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.