David John Polonus II, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1404 N Canfield Niles Rd
Mineral Ridge, OH 44440-9615

Phone

(330) 349-0303

Fax

(330) 349-0404

NPI assigned

Feb 8, 2024

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 OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Physical Therapy and Rehabilitation, IncGroup PAC ID 7214912336, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Action Physical Therapy and Rehabilitation, Inc.

  • Kinesiotherapist
  • Hubbard, OH
  • NPI 1750462057

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Action Physical Therapy and Rehabilitation, Inc

  • Physical Therapist
  • Kinsman, OH
  • NPI 1447552021
  NPD
• Action Physical Therapy and Rehabilitation, Inc.

  • Physical Therapist
  • Mineral Ridge, OH
  • NPI 1578181566
  NPD
• Action Physical Therapy and Rehabilitation, Inc

  • Physical Therapist
  • Salem, OH
  • NPI 1972155257
  NPD (past)

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1114781317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W LIBERTY ST",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251750",
            "telephone_number": "330-534-8500",
            "fax_number": "330-534-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 N CANFIELD NILES RD",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409615",
            "telephone_number": "330-349-0303",
            "fax_number": "330-349-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLONUS",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_suffix": "II",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Oblinsky
• Timiah Lashaye Owens
• Mary Ann Papas, RN
• Smari Kachet Payne
• Sofia P Phillips
• Bobbie Rader
• Nona Maria Rambo
• Richard L. Catterlin, D.O., Inc.
• Alyson Sarita Riley
• Keijawana Rocker

• Physical Therapist in Mineral Ridge, OH
• Providers in Mineral Ridge, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.