Active NPI
Sierra E Pollock, PT, DPT
- Physical Therapist
- Chaska, MN
National Provider Identifier
1831921675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13636
- Practice address
- 6000 Springs Way Apt 6212
Chaska, MN 55318-0060 - Phone
- (651) 470-5432
- NPI assigned
- Aug 19, 2024
- 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 | 13636 | MN | Primary |
Addresses
Primary practice location
6000 Springs Way Apt 6212
Chaska, MN 55318-0060
Mailing address
6000 Springs Way Apt 6212
Chaska, MN 55318-0060
Phone (651) 470-5432
Other names 1
- Sierra E Illa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926000470 | MN | Practitioner - Physical Therapist in Private Practice | 9739620063 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13636 | MN | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1831921675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 SPRINGS WAY APT 6212",
"city": "CHASKA",
"state": "MN",
"postal_code": "553180060",
"telephone_number": "651-470-5432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 SPRINGS WAY APT 6212",
"city": "CHASKA",
"state": "MN",
"postal_code": "553180060",
"telephone_number": "651-470-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "SIERRA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "13636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIERRA",
"last_name": "ILLA",
"middle_name": "E",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.