Individual provider Active NPI

Alexandra Sabrina Polon, PT, DPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1639900913
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014922 Issued in DE
Practice address
3567 Silverside Road
Wilmington, DE 19810
Phone
(302) 529-1911
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 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 J1-0014922 DE Primary

Addresses

Primary practice location

3567 Silverside Road
Wilmington, DE 19810

Mailing address

3567 Silverside Road
Wilmington, DE 19810-2656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008004446 DE Practitioner - Physical Therapist in Private Practice 6901337401 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Hen Physical Therapy, Inc. CurrentSince Aug 2, 2024 Accepting new patients
Blue Hen Physical Therapy, Inc. CurrentSince Aug 2, 2024 Accepting new patients
Rehabclinics SPT Inc Physical Therapist CurrentSince Aug 11, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 2, 2024 Accepting new patients
Physiotherapy Associates, Inc. CurrentSince Aug 2, 2024 Accepting new patients
Rehabclinics SPT, Inc. PastSince Aug 11, 2024 Accepting new patients

Locations

256 Foxhunt Dr
Bear, DE 19701
Phone (302) 834-8650

2647 Pulaski Hwy
Newark, DE 19702
Phone (302) 496-0069

320 Grove Ln
Newark, DE 19711
Phone (302) 565-2244

2401 Pennsylvania Ave
Ste 111
Wilmington, DE 19806
Phone (302) 655-5877

3567 Silverside Rd
Wilmington, DE 19810
Phone (302) 453-1588

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1639900913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3567 SILVERSIDE ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 SILVERSIDE ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19810",
            "telephone_number": "302-529-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLON",
        "first_name": "ALEXANDRA",
        "middle_name": "SABRINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.

Verify at the official NPI Registry.