David Clay Pokallus, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0012253 Issued in CO

Practice address

8 W Dry Creek Cir Ste 130
Littleton, CO 80120-4477

Phone

(303) 955-8163

Fax

(720) 387-7244

NPI assigned

Aug 29, 2013

Last updated

Mar 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1790119436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W DRY CREEK CIR STE 130",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204477",
            "telephone_number": "303-955-8163",
            "fax_number": "720-387-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKALLUS",
        "first_name": "DAVID",
        "middle_name": "CLAY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1625",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0012253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicholas Robert Polise, D.O.
• Ann Marie Pollack, CD
• Jamie Hope Pollack, PSY.D.
• Madeline Pollak, OTD, OTR/L
• R Timothy Pollak, PH.D.

• Physical Therapist in Littleton, CO
• Providers in Littleton, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.