Jill Marie Polio, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

119826 Issued in IA

Practice address

710 Pacha Pkwy Unit 3
North Liberty, IA 52317-4824

Phone

(319) 855-7842

NPI assigned

Oct 4, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1255841219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 PACHA PKWY UNIT 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174824",
            "telephone_number": "319-855-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PACHA PKWY UNIT 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174824",
            "telephone_number": "319-855-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIO",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "119826",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Anne Paul-Charlson, M.S.,CCC-SLP
• Lori A Paulsen
• Tylor Petty, LMHC
• Elizabeth Katherine Pluemer, BA
• Marc A Polacco, MD
• Jasmine Portz, M.ED, ED.S
• Lauren Leigh Pothitakis
• Jason Powers, MD
• Steel Preston
• Prevail Counseling for Wellness, LLC

• Physical Therapist in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.