Polly Patricia Pafford, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT4011 Issued in CA

Practice address

285 Mercey Springs Rd
Los Banos, CA 93635-3878

Phone

(209) 829-0444

NPI assigned

Oct 21, 2024

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

Other names 1

• Polly Patricia Hoefer Former name

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1659192771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17190 PLOW CAMP RD",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936359552",
            "telephone_number": "209-587-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MERCEY SPRINGS RD",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353878",
            "telephone_number": "209-829-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAFFORD",
        "first_name": "POLLY",
        "middle_name": "PATRICIA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT4011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POLLY",
            "last_name": "HOEFER",
            "middle_name": "PATRICIA",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Marisol Orozco Cortez
• Jasmine Orozco
• Diana Ortiz
• Modupe Oluwatoyin Oso
• Edna Owens
• Grecia N/a Palacios
• Para & Palli Inc.
• Neptahli Santarin Parian, PT
• Anthony Martin Parolise, D.C.
• Janeth Alba Choque Pascua

• Physical Therapy Assistant in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.