Michael Anthony Polvere, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16064 Issued in CO

Practice address

5945 Ward Rd Ste 110
Arvada, CO 80004-3901

Phone

(303) 424-4589

Fax

(303) 424-4632

NPI assigned

Jan 14, 2019

Sex

Male

Sole proprietor

No

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scor Physical Therapy IncGroup PAC ID 8729973730, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Scor Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • San Clemente, CA
  • NPI 1881795375

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Gaspar Physical Therapy a Professional Corporation

  • Specialist
  • Carlsbad, CA
  • NPI 1952544405

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1073087987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 WARD RD STE 110",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043901",
            "telephone_number": "303-424-4589",
            "fax_number": "303-424-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 WARD RD STE 110",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043901",
            "telephone_number": "303-424-4589",
            "fax_number": "303-424-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLVERE",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "16064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin M. Pirkl, PA-C
• Daniel Paul Plastino, APN, PMHNP-BC
• Lara Pol, M.A.
• Nicholas Anthony Politano, D.D.S.
• Dana Starr Polley, LCSW
• Rebecca Ponicsan
• Kurt Post, MA, LPC
• Poudre Valley Medical Group, LLC
• Alison Powell
• Christopher John Powell, BCBA

• Physical Therapist in Arvada, CO
• Providers in Arvada, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.