Active NPI
Savannah Pelvic Health and Wellness, LLC.
- Physical Therapist
- Pooler, GA
National Provider Identifier
1487363040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SAVANNAH PELVIC HEALTH AND WELLNESS, LLC.
- Practice address
- 408 US Highway 80 SW
Pooler, GA 31322-2541 - Phone
- (912) 503-0516
- Fax
- (912) 600-1994
- NPI assigned
- Nov 22, 2022
- Last updated
- Nov 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasmine D Polk, PT
- Title
- Owner/Physical Therapist
- Phone
- (912) 503-0516
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
408 US Highway 80 SW
Pooler, GA 31322-2541
Mailing address
209 Thatcher St
Guyton, GA 31312-5842
Phone (912) 503-0516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
106 E US Highway 80
Ste G
Bloomingdale, GA 31302
Phone (912) 420-4910
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Marietta, GA
- NPI 1801298781
-
- Occupational Therapist
- Bloomingdale, GA
- NPI 1245033620
-
- Physical Therapist
- Bloomingdale, GA
- NPI 1114693959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669075200000",
"number": "1487363040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 THATCHER ST",
"city": "GUYTON",
"state": "GA",
"postal_code": "313125842",
"telephone_number": "912-503-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 US HIGHWAY 80 SW",
"city": "POOLER",
"state": "GA",
"postal_code": "313222541",
"telephone_number": "912-503-0516",
"fax_number": "912-600-1994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVANNAH PELVIC HEALTH AND WELLNESS, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A",
"authorized_official_last_name": "POLK",
"authorized_official_first_name": "JASMINE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "912-503-0516",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
- Rebekah Jael Sanders
- Steven James Santos
- Caylee Sapp, RBT
- Victoria Saturnino, MD
- Savannah Health Services, LLC (The Rehabilitation Institute at Memorial Health University Medical Center)
- Chelsea Sceusa, OD
- Jenny Lynn Schmucker, RPH
- Todd Andrew Schnobrich, OD
- Kayleigh Di-Wei Schoppe
- Stephanie Schreiber
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.