Jordan Polocek

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

121050 Issued in TX

Practice address

1400 Red Tip Dr
Allen, TX 75002-4336

Phone

(214) 707-9906

NPI assigned

Oct 17, 2023

Last updated

Oct 17, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mga Healthcare Texas, LLC

  dba MGA Homecare

  • Home Health Agency
  • Addison, TX
  • NPI 1073837514
  NPD
• Teach Me LLC

  dba Therapy & Beyond

  • Behavior Analyst
  • Carrollton, TX
  • NPI 1124332911
  NPD (past)

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1114709979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 DALLAS PKWY STE 125",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013499",
            "telephone_number": "214-292-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 RED TIP DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024336",
            "telephone_number": "214-707-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOCEK",
        "first_name": "JORDAN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plate Chiropractic PLLC
• Christopher S. Plate, D.C.
• Play-Based Wellness Behavioral Health PLLC
• PM Management - Allen NC LLC (Victoria Gardens of Allen)
• Podiatric Medical Partners of Texas, PA (Victor a. Schechter, DPM)
• Crystal Ponce
• Mallory Sylvia Ponce
• Laura Ponder, OTR/L
• Stacy Ponder, D.M.D.
• Geralyn Jernelle Pool, MA, LPC

• Speech-Language Pathologist in Allen, TX
• Providers in Allen, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.