Individual provider Active NPI

Katherine Pollack

  • Physical Therapist
  • Irwindale, CA
National Provider Identifier
1699477703
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15768 Arrow Hwy
Irwindale, CA 91706-2005
Phone
(626) 969-9800
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 Primary

Addresses

Primary practice location

15768 Arrow Hwy
Irwindale, CA 91706-2005

Mailing address

4133 Iris Cir
La Verne, CA 91750-3012
Phone (607) 437-6808

Other practice location 1

6520 N Irwindale Ave Ste 100
Irwindale, CA 91702-2801
Phone (626) 812-0366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206001035 CA Practitioner - Physical Therapist in Private Practice 0749716306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mariners Physical Therapy IncGroup PAC ID 9931100500, 5 clinicians

Practice addresses (Care Compare)

201 Sandpointe Ave
Suite 130
Santa Ana, CA 92707-5785
Phone (714) 557-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mariners Physical Therapy, Inc. Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Dec 4, 2024 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

201 Sandpointe Ave
Ste 130
Santa Ana, CA 92707
Phone (714) 557-9292

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1699477703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 IRIS CIR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503012",
            "telephone_number": "607-437-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15768 ARROW HWY",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917062005",
            "telephone_number": "626-969-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6520 N Irwindale Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Irwindale",
            "state": "CA",
            "postal_code": "917022801",
            "country_code": "US",
            "telephone_number": "626-812-0366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwindale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.