Individual provider Active NPI

Quinn Daniel Polnasek

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1508680489
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418
Phone
(561) 733-5590
NPI assigned
Nov 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418

Mailing address

4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114002862 FL Practitioner - Physical Therapist in Private Practice 3072047950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Florida International Univ, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

4971 Le Chalet Blvd
Suite 100
Boynton Beach, FL 33436-1418
Phone (561) 733-5590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Royal Palm Beach Rehab, Corp Physical Therapist Current Accepting new patients
Royal Palm Beach Rehab, Corp Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

160 Congress Park Dr
Ste 101
Delray Beach, FL 33445
Phone (561) 277-2269

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1508680489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 LE CHALET BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 LE CHALET BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361418",
            "telephone_number": "561-733-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLNASEK",
        "first_name": "QUINN",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.