Monica Isabel Polanco

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10455 Issued in MD

Practice address

1655 Crofton Blvd Ste 103
Crofton, MD 21114-1342

Phone

(410) 451-5700

Fax

(410) 451-5703

NPI assigned

Mar 5, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Baltimore, MD
  • NPI 1215698287

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Washington, DC
  • NPI 1255750030

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1760280820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 66TH AVE",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371716",
            "telephone_number": "301-943-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 CROFTON BLVD STE 103",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141342",
            "telephone_number": "410-451-5700",
            "fax_number": "410-451-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO",
        "first_name": "MONICA",
        "middle_name": "ISABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "10455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Penwell Hughes, PSY.D
• Joshua Carroll Peyton, BEHAVIOR TECHNICIAN
• Priscilla Philip, RPA-C
• Rao S Piratla, PHARMD
• Karen V Plunkett-Reid, M.D.
• Clarence Ray Porchia
• Susana I Posada Montalvo, LPA
• Potomac Podiatry PLLC
• Hope Lopresti Poulakos, AGNP
• Ryan Alyce Powell, FNP-BC

• Occupational Therapist in Crofton, MD
• Providers in Crofton, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.