Leonid Polishuk, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005129L Issued in PA

Practice address

1024 N Bethlehem Pike
Ambler, PA 19002-2114

Phone

(215) 641-9401

Fax

(215) 654-7482

NPI assigned

Dec 28, 2006

Last updated

Jan 7, 2015By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 3

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.

• Dmitry Agres, DPT

  • Physical Therapist
  • Feasterville Trevose, PA
  • NPI 1639585250
  Medicare reassignment
• John Anthony Battles, DPT

  • Physical Therapist
  • Ambler, PA
  • NPI 1952655615
  Medicare reassignment
• Milana Polishuk, MPT

  • Physical Therapist
  • Ambler, PA
  • NPI 1023362993
  Medicare reassignment

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

• Polishuk Physical Therapy and Wellness

  dba Leonid Polishuk

  • Physical Therapy Clinic/Center
  • Ambler, PA
  • NPI 1407601305
  NPD

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1639235617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022114",
            "telephone_number": "215-641-9401",
            "fax_number": "215-654-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N BETHLEHEM PIKE",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022114",
            "telephone_number": "215-641-9401",
            "fax_number": "215-654-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISHUK",
        "first_name": "LEONID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005129L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0049583000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "126675",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Pileggi, LAC
• Megan Placa, MS, CNS, LDN
• Planned Parenthood Southeastern Pennsylvania
• Jordan Mackenzie Plummer, PHARMD
• Polishuk Physical Therapy and Wellness (Leonid Polishuk)
• Milana Polishuk, MPT
• Danielle Poluch, OTR/L
• Breanna Elizabeth Potts
• Megan Mohacey Powers, DPT
• Preventadent Associates

• Physical Therapist in Ambler, PA
• Providers in Ambler, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.