Jill Marie Polsean, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.004635 Issued in IL

Practice address

5820 Allerton Dr
Rockford, IL 61114-6456

Phone

(815) 222-6266

NPI assigned

Dec 8, 2016

Last updated

Dec 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1548704653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 ALLERTON DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146456",
            "telephone_number": "815-222-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 ALLERTON DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146456",
            "telephone_number": "815-222-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSEAN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.004635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Polk
• Kalab Polky
• Kevin M Polky, LCSW
• Jacob Pollock
• Lynne Marie Pollock, LCSW
• Kelly Polz
• Aramide A Ponnle, DPT
• Kasey L Pontarelli, P.A.-C.
• James Cicero Poole, M.D.
• Shirley Jean Poole, RD CSP LDN

• Physical Therapy Assistant in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.