Active NPI
David Alangadan Polson, PT, DPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1174064166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012762
- Practice address
- 860 Johnson Fy Rd NE
Ste 100
Atlanta, GA 30342-1435 - Phone
- (404) 252-5545
- Fax
- (404) 252-5511
- NPI assigned
- Mar 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012762 | GA | Primary |
Addresses
Primary practice location
860 Johnson Fy Rd NE
Ste 100
Atlanta, GA 30342-1435
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiologix Sports Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Miami Shores, FL
- NPI 1427538917
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1174064166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-362-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 JOHNSON FY RD NE",
"address_2": "STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421435",
"telephone_number": "404-252-5545",
"fax_number": "404-252-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSON",
"first_name": "DAVID",
"middle_name": "ALANGADAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-10",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.