Active NPI
Elisa Pollard, DPT
- Physical Therapist
- Oakland, CA
National Provider Identifier
1710378542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42243
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rynz Corp. | Physical Therapist | Current | 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.
-
- Orthopedic Physical Therapist
- Hayward, CA
- NPI 1942258298
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.