Michael S Pollastrelli, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00386300 Issued in NJ

Practice address

1999 New Rd Ste C
Linwood, NJ 08221-1060

Phone

(609) 601-6150

Fax

(609) 601-6141

NPI assigned

Aug 31, 2021

Last updated

Aug 31, 2021By the provider in NPPES

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

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.

• Eastern Shore Physical Therapy

  • Physical Therapist
  • Linwood, NJ
  • NPI 1992838643
  NPD

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1134897697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 NEW RD STE C",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211060",
            "telephone_number": "609-601-6150",
            "fax_number": "609-601-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 NEW RD STE C",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211060",
            "telephone_number": "609-601-6150",
            "fax_number": "609-601-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLASTRELLI",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00386300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Perry, D.M.D.
• Rachel Ann Pessoa, APN
• Peter Frisko, O.D.
• Jeffrey David Petersohn, M.D.
• Physician Health and Wellness
• Theodore John Poltorak, DDS
• Deborah Marie Pontoriero, ARNP
• Steven Charles Pouls, DC
• Premier Brain and Spine LLC (Reclaimability Pain Services)
• Premier Brain and Spine, LLC (Orozco Orthopaedics)

• Physical Therapy Assistant in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.