Maria Polonia, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP010274 Issued in PA

Practice address

37 Central Ave
Wellsboro, PA 16901-1857

Phone

(800) 488-4268

NPI assigned

Jul 22, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1114652179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 PEARL ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011334",
            "telephone_number": "570-439-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CENTRAL AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011857",
            "telephone_number": "800-488-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONIA",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "COTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP010274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Pfisterer, M.D.
• Sherry D Pierce, DPT
• Kevin L Pigos, M.D.
• George David Pitre, MA,BSL
• Dylan Plume, LAT, ATC
• Nicole Michelle Quezada, DMD
• Jeffrey A Ranta, MD
• Gena L. Rasmussen, MS, RD, LDN
• Chelsey Rendos
• Laura J Rice, M.D.

• Occupational Therapy Assistant in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.