Andrius Polikaitis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305406 Issued in CA

Practice address

1020 Mission St Unit a
South Pasadena, CA 91030-3172

Phone

(714) 557-9292

NPI assigned

Jan 18, 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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mariners Physical Therapy IncGroup PAC ID 9931100500, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Mariners Physical Therapy, Inc.

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1164527305
  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1144081902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 ETTRICK ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272501",
            "telephone_number": "661-607-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MISSION ST UNIT A",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303172",
            "telephone_number": "714-557-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIKAITIS",
        "first_name": "ANDRIUS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Plascencia, AMFT
• Ashley Plascencia
• Carlos Plascencia
• Tyronne Kahlil Plunkett
• Rakshya Pokharel
• Amy Caton Polverini, MD
• Waletr Ponce
• Zheela Cherriz Ponce, NP
• Poppy Peak Individual and Family Therapy, Inc.
• Daniela Portales

• Physical Therapist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.