Kathleen E Pollan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1240738 Issued in TX

Practice address

7630 N Beach St
Fort Worth, TX 76137-1299

Phone

(817) 428-9900

Fax

(817) 370-9894

NPI assigned

Feb 14, 2014

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kathleen E Sullivan Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Southwestern Medical School at Dallas, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportherapy LLCGroup PAC ID 0749536308, 45 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.

• Sportherapy LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1386132132

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Gateway Partners Inc

  dba Gateway Physical Therapy

  • Physical Therapist
  • Keller, TX
  • NPI 1902183643
  NPD (past)
• Sportherapy Southwest, PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Worth, TX
  • NPI 1801812698

  Physical Therapist

  NPD (past)
• Wedgwood Eyecare PC

  dba Visualeyes

  • Optometrist
  • Fort Worth, TX
  • NPI 1376756858
  NPD (past)

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1194149856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326102",
            "telephone_number": "817-370-9891",
            "fax_number": "817-370-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371299",
            "telephone_number": "817-428-9900",
            "fax_number": "817-370-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAN",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1240738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1240738",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SULLIVAN",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katharine Poland, DAT, ATC, LAT
• Polavarapu Plastic Surgery, PLLC
• Elizabeth M Polizzi, LCSW
• Daniel Polk
• Freddie M Polk, LVN
• Haley Pollard
• Sara Marie Pollard, LMSW
• Sarah-Elizabeth Madeline Polley, MD
• Shawnelle Pollock, LPC-ASSOCIATE
• Jeffrey M Pombolingi, MD

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.