Individual provider Active NPI

Britney B Pollok

  • Physical Therapy Assistant
  • Weatherford, TX
National Provider Identifier
1750845939
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2065580 Issued in TX
Practice address
1102 Dennis Rd
Weatherford, TX 76087-8826
Phone
(817) 709-9625
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2065580 TX Primary

Addresses

Primary practice location

1102 Dennis Rd
Weatherford, TX 76087-8826

Mailing address

1102 Dennis Rd
Weatherford, TX 76087-8826
Phone (817) 709-9625

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2065580TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Management Professionals LLC Current Accepting new patients
Physical Management Professionals Current Accepting new patients

Organizations & group practices 2

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1750845939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 DENNIS RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760878826",
            "telephone_number": "817-709-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 DENNIS RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760878826",
            "telephone_number": "817-709-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOK",
        "first_name": "BRITNEY",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2065580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.