Polly A Badt, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15196 Issued in CA

Practice address

9 Latimer Rd
Santa Monica, CA 90402-1011

Phone

(310) 456-8301

Fax

(310) 317-1553

NPI assigned

Jul 21, 2006

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)

Enrolled

State licenses

Practice roles

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.

• Body Rehab Center

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1215153747
  NPD (past) Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1124049689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LATIMER RD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904021011",
            "telephone_number": "310-456-8301",
            "fax_number": "310-317-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LATIMER RD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904021011",
            "telephone_number": "310-456-8301",
            "fax_number": "310-317-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADT",
        "first_name": "POLLY",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back to Balance
• Back to Balance Chiropractic
• Nikita Vashi Baclig, M.D.
• Gretchen Lynn Badami, DAOM, LAC
• Eric Badener, D.C.
• Hyun Woo Bae, M.D.
• Junun Bae, DO
• Elisa Jeanne Sigrid Baer, RDN
• Soroush Baghdadi, MD
• Anais Lara Baghdoyan, OTR

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.