Jon E Polly, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26847 Issued in CA

Practice address

16223 Devonshire St
Granada Hills, CA 91344-6910

Phone

(818) 831-2400

Fax

(818) 831-2411

NPI assigned

Feb 15, 2007

Last updated

May 6, 2013By the provider in NPPES

Sex

Male

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

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blue Sky Therapy Inc.

  • Physical Therapist
  • Wauneta, NE
  • NPI 1942986229
  Medicare reassignment NPD Authorized official
• Skyline Physical Therapy, Inc.

  • Physical Therapist
  • Granada Hills, CA
  • NPI 1811332661
  Authorized official Same address or phone

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1710020037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16219 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446910",
            "telephone_number": "818-831-2400",
            "fax_number": "818-831-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16223 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446910",
            "telephone_number": "818-831-2400",
            "fax_number": "818-831-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLY",
        "first_name": "JON",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorrinne Pinlac
• Pinnacle Care Solutions Inc
• Planet RX, Inc. (Planet Rx)
• Diane Poladian, PT
• Jill Ilene Polan, LCSW
• Delmy Maria Portillo, LMFT
• Powerful Diagnostic Imaging
• Preferred Compounding Pharmacy Inc (Preferred Compounding Pharmacy)
• Prime Care Health Residence
• Prime Valley Medical Center Inc

• Physical Therapist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.