Active NPI
Laurie Poloskey, PT
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1770684201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17101
- Practice address
- 18786 Cape Sable Dr
Boca Raton, FL 33498-6376 - Phone
- (561) 487-1905
- NPI assigned
- Sep 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 | 17101 | FL | Primary |
Addresses
Primary practice location
18786 Cape Sable Dr
Boca Raton, FL 33498-6376
Mailing address
18786 Cape Sable Dr.
Boca Raton, FL 33498
Phone (561) 487-1905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050518000340 | FL | Practitioner - Physical Therapist in Private Practice | 6406897677 | Practice locations: Boca Raton, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17101 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cralle Physical Therapy Services, PA | Physical Therapist | Past | Accepting new patients |
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 Therapist
- Delray Beach, FL
- NPI 1215158530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1770684201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18786 CAPE SABLE DR.",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33498",
"telephone_number": "561-487-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18786 CAPE SABLE DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334986376",
"telephone_number": "561-487-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLOSKEY",
"first_name": "LAURIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "17101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.