Polaris Physical Therapy,P.C.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA00393000 Issued in NJ

Legal business name

POLARIS PHYSICAL THERAPY,P.C.

Practice address

284 Delsea Dr
Sewell, NJ 08080-9469

Phone

(856) 534-1052

Fax

(856) 881-0077

NPI assigned

Dec 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Yanez, P.T.NPI 1376565242

Title

Physical Therapy Director

Phone

(856) 534-1052

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Roberto E Yanez, PT

  • Physical Therapist
  • Sewell, NJ
  • NPI 1376565242
  NPD (past) Authorized official
• Karen Elizabeth Yuen, M.P.T.

  • Physical Therapist
  • Rehoboth Beach, DE
  • NPI 1194893479
  NPD (past)

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073678751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080810064",
            "telephone_number": "856-534-1052",
            "fax_number": "856-881-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 DELSEA DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809469",
            "telephone_number": "856-534-1052",
            "fax_number": "856-881-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PHYSICAL THERAPY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PHYSICAL THERAPY DIRECTOR",
        "authorized_official_telephone_number": "856-534-1052",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00393000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "40QA00393000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Courtney Pinkerton, OD
• Heather Pitman, OTR/L
• Alisa B Pittaluga, OT
• Lauren Pluchino, L.C.S.W.
• Peter A. Plumeri, D.O., D.A.C.P.
• Ponzio Orthopedic P C
• Robert J Ponzio, D.O.
• Lisa Elizabeth Pope, APN
• Portfolio One, LLC
• Premier Brain and Spine LLC

• Orthopedic Physical Therapist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.