Organization Active NPI

Pollock Physical Therapy

  • Specialist
  • Upland, CA
National Provider Identifier
1386613263
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT23575 Issued in CA
Legal business name
POLLOCK PHYSICAL THERAPY
Practice address
1238 E Arrow Hwy
Floor #2
Upland, CA 91786-4951
Phone
(909) 946-7658
Fax
(909) 931-7838
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Donald Ian McNeill, M.P.T.NPI 1881643690
Title
Owner/Therapist
Phone
(909) 946-7658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT23575 CA Primary

Addresses

Primary practice location

1238 E Arrow Hwy
Floor #2
Upland, CA 91786-4951

Mailing address

1238 E Arrow Hwy
Floor #2
Upland, CA 91786-4951
Phone (909) 946-7658

Other identifiers 1

IdentifierTypeStateIssuer
592CAOtherCAPTPN MEMBER

National Provider Directory

National Provider Directory

Locations

1238 E Arrow Hwy
Fl 2
Upland, CA 91786
Phone (909) 946-7658

Practitioners & affiliated clinicians

Practitioners 3

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1386613263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 E ARROW HWY",
            "address_2": "FLOOR #2",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864951",
            "telephone_number": "909-946-7658",
            "fax_number": "909-931-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 E ARROW HWY",
            "address_2": "FLOOR #2",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864951",
            "telephone_number": "909-946-7658",
            "fax_number": "909-931-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLOCK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "909-946-7658",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT23575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTPN MEMBER",
            "identifier": "592CA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.