Brian L. Poludniak, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012813 Issued in OH

Practice address

4733 Liberty Avenue
Vermilion, OH 44089

Phone

(440) 967-4226

Fax

(440) 967-0296

NPI assigned

Jun 16, 2010

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 OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Health Solution Centers Inc

  • Physical Therapist
  • Vermilion, OH
  • NPI 1346481157
  Medicare reassignment NPD
• Health Solution Centers of Lorain Inc.

  • Chiropractor
  • Lorain, OH
  • NPI 1437399193

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1598086332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 LIBERTY AVENUE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "44089",
            "telephone_number": "440-967-4226",
            "fax_number": "440-967-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 LIBERTY AVENUE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "44089",
            "telephone_number": "440-967-4226",
            "fax_number": "440-967-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLUDNIAK",
        "first_name": "BRIAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT012813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3060182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane L. Paige, PTPHYSICAL THERAPIST
• Valerie Parker
• Virginia Marie Parson
• Aliza Patterson
• Amaris Pleas Buford
• Patricia Popovich
• Miles Proctor
• Rhonda Lynn Prusak
• Quantum Healthcare Inc
• Quantum Healthcare Inc

• Physical Therapist in Vermilion, OH
• Providers in Vermilion, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.