Active NPI
Robyn H Polk, P.T.
- Physical Therapist
- Pawley's Island, SC
National Provider Identifier
1265482343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4894
- Practice address
- 12965 Ocean Hwy # 17
Healthpoint
Pawleys Island, SC 29585-6549 - Phone
- (843) 237-5956
- NPI assigned
- May 11, 2006
- Last updated
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4894 | SC | Primary |
| Physical Therapist | 225100000X | 9194 | NC | |
| Physical Therapist | 225100000X | 7132 | MN |
Addresses
Primary practice location
12965 Ocean Hwy # 17
Healthpoint
Pawleys Island, SC 29585-6549
Mailing address
PO Box 421718
Georgetown, SC 29442-4203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1527 | Medicaid | SC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7132 | MN | MD | Radiology Chiropractor |
| 9194 | NC | MD | Physical Therapist |
| 4894 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1265482343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421718",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294424203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12965 OCEAN HWY # 17",
"address_2": "HEALTHPOINT",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295856549",
"telephone_number": "843-237-5956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLK",
"first_name": "ROBYN",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4894",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9194",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7132",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1527",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawley's Island, SC
- Pawleys Island Pharmacy LLC (Pawleys Island Pharmacy)
- Pawleys Island Pharmacy of Litchfield LLC (Pawleys Island Pharmacy of Litchfield)
- Pawleys Service Partners LLC (Home Care Assistance of the Grand Strand)
- Steven J Petersen Jr., MD
- Richard Andrew Philipp II, MD
- Karen Owens Pope, LMT
- Karen Lee Porterfield, MA
- Premier Smile and Implant Center
- Professional Rehabilitation Services, Inc
- Publix Super Markets Inc (Publix Pharmacy #1478)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.