Michael Podlenski, PTA, ATC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT2570 Issued in CA

Practice address

8881 Fletcher Pkwy
Suite #280
La Mesa, CA 91942-3134

Phone

(619) 464-0105

NPI assigned

Nov 14, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Associated Physical Therapy Inc

  • Physical Therapist
  • La Mesa, CA
  • NPI 1740224625
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1871773200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 FUERTE VALLEY DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193739",
            "telephone_number": "619-441-0192",
            "fax_number": "619-441-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE #280",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-464-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODLENSKI",
        "first_name": "MICHAEL",
        "credential": "PTA, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT2570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Barrett Pitzer, M.D.
• Cecilia Plasencia
• Playful Expressions Child and Family Therapy
• Karlyn Marie Pleasants, PSY.D.
• Marcelo Alberto Podesta, LMFT
• Alexandria Poe
• Amanda Noelle Poeschel, LCSW
• Gina Angel Pollack, LCSW
• Arlene E Pollard, MSSW LCSW
• Beatriz Ponce Vazquez

• Physical Therapy Assistant in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.