Elizabeth Rachel Groff Polito, PT, DPT, OCS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004736 Issued in IA

Practice address

1129 11TH St SE
Suite a
Dyersville, IA 52040

Phone

(563) 875-8615

Fax

(563) 875-8722

NPI assigned

Aug 4, 2011

Last updated

Nov 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jason J. Putz Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Dyersville, IA
  • NPI 1306033568
  NPD

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1700165065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 11TH ST SE",
            "address_2": "SUITE A",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "52040",
            "telephone_number": "563-875-8615",
            "fax_number": "563-875-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 11TH ST SE",
            "address_2": "SUITE A",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "52040",
            "telephone_number": "563-875-8615",
            "fax_number": "563-875-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITO",
        "first_name": "ELIZABETH RACHEL",
        "middle_name": "GROFF",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Morgan, MA
• Linda J. Nightingale
• Thomas Gerard Olberding, RPH
• Julie A Panosh, PHARM D
• Physiotherapy Associates, Inc. (Select Physical Therapy)
• Prescription Shoppe Inc (Nightingale Drug)
• Prescription Shoppe, Inc. (Nightingale Drug)
• Prescription Shoppe, Inc. (Nightingale Drug)
• Chelsea Preston
• Jason John Putz, P.T.

• Physical Therapist in Dyersville, IA
• Providers in Dyersville, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.