Individual provider Active NPI

Elisa Pollard, DPT

  • Physical Therapist
  • Oakland, CA
National Provider Identifier
1710378542
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42243 Issued in CA
Practice address
4341 Piedmont Avenue, 2ND Floor
Oakland, CA 94611-4767
Phone
(510) 547-1630
Fax
(510) 923-1944
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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 42243 CA Primary

Addresses

Primary practice location

4341 Piedmont Avenue, 2ND Floor
Oakland, CA 94611-4767

Mailing address

4341 Piedmont Avenue, 2ND Floor
Oakland, CA 94611-4767
Phone (510) 547-1630

Other names 1

  • Elisa Martinez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150512002471 CA Practitioner - Physical Therapist in Private Practice 3476872557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rynz CorpGroup PAC ID 3375583495, 15 clinicians

Practice addresses (Care Compare)

1260 B St
Suite 250
Hayward, CA 94541-2971
Phone (510) 247-9971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rynz Corp. Physical Therapist CurrentSince May 11, 2017 Accepting new patients

Locations

6937 Village Pkwy
Unit 2160
Dublin, CA 94568

1260 B St
Ste 250
Hayward, CA 94541
Phone (510) 247-9971

Organizations & group practices 1

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": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1710378542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 PIEDMONT AVENUE, 2ND FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114767",
            "telephone_number": "510-547-1630",
            "fax_number": "510-923-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 PIEDMONT AVENUE, 2ND FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114767",
            "telephone_number": "510-547-1630",
            "fax_number": "510-923-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "ELISA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "MARTINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.