Individual provider Active NPI

Kristopher Pollock, PT

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1073128377
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT36341 Issued in FL
Practice address
3657 Cortez Rd W Ste 110
Bradenton, FL 34210-3171
Phone
(941) 739-7828
NPI assigned
Sep 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTT36341 FL Primary

Addresses

Primary practice location

3657 Cortez Rd W Ste 110
Bradenton, FL 34210-3171

Mailing address

11045 Tamiami TRL S
North Port, FL 34287-1072
Phone (877) 469-3778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200918001010 FL Practitioner - Physical Therapist in Private Practice 2264850551 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fitness Quest - Venice LLCGroup PAC ID 9739125964, 44 clinicians

Practice addresses (Care Compare)

400 Tamiami TRL S
Suite 210
Venice, FL 34285-2626
Phone 87746937782004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Physical Therapy LLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients
Fitness Quest Inc CurrentSince Nov 2, 2020 Accepting new patients
Fitness Quest -LBK, LLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients
Fitness Quest - Venice LLC CurrentSince Feb 1, 2025 Accepting new patients
Fitness Quest-Ellenton, LLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients
Fitness Quest - Venice LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Fitness Quest - Palmer Ranch, LLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients

Locations

3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020

540 Bay Isles Rd
Ste 2
Longboat Key, FL 34228
Phone (941) 209-3999

11045 Tamiami Trl S
North Port, FL 34287
Phone (877) 469-3778

1401 8th Ave W
Ste 1
Palmetto, FL 34221
Phone (941) 722-4000

8175 US Highway 301 N
Parrish, FL 34219
Phone (941) 721-9100

1705 S Osprey Ave
Sarasota, FL 34239
Phone (941) 957-3279

8588 Potter Park Dr
Ste 201
Sarasota, FL 34238
Phone (941) 361-9020

400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1073128377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871072",
            "telephone_number": "877-469-3778",
            "fax_number": "866-721-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 CORTEZ RD W STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103171",
            "telephone_number": "941-739-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "KRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT36341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.