Active NPI
Polly W Doss, PT
- Physical Therapist
- Toccoa, GA
National Provider Identifier
1730149477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001136
- Practice address
- 2204 Oak Valley Rd
Toccoa, GA 30577-9508 - Phone
- (706) 491-5261
- NPI assigned
- Mar 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 001136 | GA | Primary |
Addresses
Primary practice location
2204 Oak Valley Rd
Toccoa, GA 30577-9508
Mailing address
PO Box 1482
Toccoa, GA 30577-1426
Phone (706) 491-5261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00805296B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001136 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetic Physical Therapy PA | Physical Therapist | Current | Accepting new patients |
Locations
1082 6th Ave N
Naples, FL 34102
Phone (239) 263-7399
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.
-
- Physical Therapy Clinic/Center
- Naples, FL
- NPI 1811564065
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730149477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1482",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305771426",
"telephone_number": "706-491-5261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 OAK VALLEY RD",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305779508",
"telephone_number": "706-491-5261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSS",
"first_name": "POLLY",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "001136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00805296B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toccoa, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.