Polkadot Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

110282 Issued in TX

Legal business name

POLKADOT PEDIATRIC THERAPY, LLC

Practice address

800 Wilcrest Dr
Suite 175
Houston, TX 77042-6301

Phone

(832) 752-8739

Fax

(281) 652-5521

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Julie Ploetner

Title

Owner

Phone

(832) 752-8739

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1760892913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WILCREST DR",
            "address_2": "SUITE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770426301",
            "telephone_number": "832-752-8739",
            "fax_number": "281-652-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WILCREST DR",
            "address_2": "SUITE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770426301",
            "telephone_number": "832-752-8739",
            "fax_number": "281-652-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLKADOT PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "PLOETNER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-752-8739"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "110282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Troy Polk, MSN, PMHNP
• Sherri Polk
• Tommy Polk, M.D.
• Verneisha Donya Polk
• Polka Dot Journey LLC
• Andrea Pollack, D.O.
• Jo M Pollack, MD
• Sue E. Pollard-Allegar, OTR
• J. Andrew Andrew Pollard, MD
• Johna Salzer Pollard, OTR/L

• All providers in Houston, TX
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.