Organization Active NPI

Polar Physical Therapy and Fitness P.L.L.C

  • Physical Medicine & Rehabilitation Physician
  • Clinton TWP, MI
National Provider Identifier
1265079487
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
POLAR PHYSICAL THERAPY AND FITNESS P.L.L.C
Practice address
36292 Farmbrook Dr
Clinton TWP, MI 48035-1508
Phone
(586) 596-8258
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Mrs. Julie K Plichota, DPT, CPT
Title
Doctor of Physical Therapy/Owner
Phone
(586) 596-8258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

36292 Farmbrook Dr
Clinton TWP, MI 48035-1508

Mailing address

36292 Farmbrook Dr
Clinton TWP, MI 48035-1508
Phone (586) 596-8258

Other identifiers 1

IdentifierTypeStateIssuer
5501017229OtherMILICENSE ID

National Provider Directory

National Provider Directory

Locations

32024 Utica Rd
Fraser, MI 48026
Phone (586) 596-8258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1265079487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36292 FARMBROOK DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351508",
            "telephone_number": "586-596-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36292 FARMBROOK DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351508",
            "telephone_number": "586-596-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLAR PHYSICAL THERAPY AND FITNESS P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "PLICHOTA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY/OWNER",
        "authorized_official_telephone_number": "586-596-8258",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT, CPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE ID",
            "identifier": "5501017229",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.