NPIMap

Organization Active NPI

Polk Therapy

  • Physical Therapist
  • Winter Haven, FL
National Provider Identifier
1679522544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
POLK THERAPY
Practice address
346 E Central Ave
Suite 1
Winter Haven, FL 33880-3046
Phone
(863) 291-8644
NPI assigned
May 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Edward Tucker
Title
President
Phone
(863) 287-6081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X FL Primary

Addresses

Primary practice location

346 E Central Ave
Suite 1
Winter Haven, FL 33880-3046

Mailing address

346 E Central Ave
Suite 1
Winter Haven, FL 33880-3046
Phone (863) 291-8644

National Provider Directory

National Provider Directory

Locations

346 E Central Ave
Ste 1
Winter Haven, FL 33880
Phone (863) 291-8644

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679522544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 E CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803046",
            "telephone_number": "863-291-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 E CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803046",
            "telephone_number": "863-291-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-287-6081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.