Michael Lang Polley, ATP

Primary specialty

Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X

License

10296600 Issued in TX

Practice address

4703 DC Dr Ste 100
Tyler, TX 75701

Phone

(903) 597-5656

Fax

(903) 729-5496

NPI assigned

May 4, 2011

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Preferred Home Medical, LLC

  dba Preferred Home Medical

  • Oxygen Equipment & Supplies (DME)
  • Tyler, TX
  • NPI 1912967563
  NPD (past)

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1215229687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 DC DR STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757010405",
            "telephone_number": "903-597-5656",
            "fax_number": "903-597-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 DC DR STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-597-5656",
            "fax_number": "903-729-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEY",
        "first_name": "MICHAEL",
        "middle_name": "LANG",
        "credential": "ATP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "10296600",
            "primary": false
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "TX",
            "license": "10296600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Point of Care Solutions PLLC
• Paranjaya Paramanga Pokharel, DO
• Hanna Polen
• Katherine Polk
• David Pollard, MD
• Medric Poole II
• Reeth Kaur Pooni, PHARMD
• Rachel Poothakary
• Melba Pope
• Mirna Pope

• Rehabilitation Counselor in Tyler, TX
• Providers in Tyler, TX by specialty
• Rehabilitation Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.