Polk Rehabilitation Inc

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

PT14814 Issued in FL

Legal business name

POLK REHABILITATION INC

Practice address

1326 State Road 60 E Ste 200
Lake Wales, FL 33853-4322

Phone

(863) 679-3545

Fax

(863) 679-3924

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Peter G Kalogridis, M.P.T.NPI 1730206467

Title

Physical Therapist/Owner

Phone

(863) 679-3545

Specialties & licenses 1

Addresses

Tax ID family

Polk Rehabilitation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Polk Rehabilitation Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Lake Wales, FL
  • NPI 1376712307
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter G Kalogridis II, MPT

  • Physical Therapist
  • Lake Wales, FL
  • NPI 1730206467
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740374073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 STATE ROAD 60 E STE 200",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534322",
            "telephone_number": "863-679-3545",
            "fax_number": "863-679-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 STATE ROAD 60 E STE 200",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534322",
            "telephone_number": "863-679-3545",
            "fax_number": "863-679-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALOGRIDIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "863-679-3545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "FL",
            "license": "PT14814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen J Plumb, D.O.
• PM Radiology P L (Gateway Radiology at MCER)
• PM Radiology PL (Gateway EmUrgent Care at MCER)
• Podiatry Center PA
• Polk Rehabilitation Inc
• Eliany Ponce Benitez
• Carmen Del Rosario Ponce de Leon Rodriguez
• Matthew Isaac Povilaitis
• Preserva Therapy Group Inc
• Jagdeep Singh Pruthi, M.D.

• Rehabilitation Practitioner in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Rehabilitation Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.