John W Polk IV, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006531 Issued in KY

Practice address

808 S Broadway St Ste 12
Georgetown, KY 40324-2300

Phone

(502) 427-6004

Fax

(502) 427-0411

NPI assigned

Sep 22, 2014

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Commonwealth Hand TherapyGroup PAC ID 0446548119, 36 clinicians

Hyphen Georgetown LLCGroup PAC ID 7517441769, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Commonwealth Hand Therapy

  • Occupational Therapist
  • Lexington, KY
  • NPI 1962855254

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Hyphen Georgetown LLC

  • Geriatric Physical Therapist
  • Lexington, KY
  • NPI 1649145400
  Medicare reassignment Care Compare group NPD
• Commonwealth Hand Therapy

  • Customized Equipment (DME)
  • Frankfort, KY
  • NPI 1033905724

  Physical Therapist

  NPD
• Hyphen HQ

  • Geriatric Physical Therapist
  • Georgetown, KY
  • NPI 1639059017
  NPD (past)
• Kentucky Orthopedic Rehabilitation LLC

  dba KORT - Richmond Physical Therapy

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1851391882
  NPD (past)
• Kentucky Orthopedic Rehabilitation, LLC

  dba KORT Physical Therapy

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1295477248
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1376945329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S BROADWAY ST STE 12",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403242300",
            "telephone_number": "502-427-6004",
            "fax_number": "502-427-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S BROADWAY ST STE 12",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403242300",
            "telephone_number": "502-427-6004",
            "fax_number": "502-427-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_suffix": "IV",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100810440",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Monica Lynay Piton
• Lauren Polly, LCSW
• Emily J S Porter, MA, LPCC
• Bobbi Jo Poston, APRN
• Premise Health of Kentucky Medical PSC (Balanced Care Health & Wellness Center)
• Premise Health of West Virginia Medical Medical Corporation (Toyota Family Health Center @ Georgetown)

• Physical Therapist in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.