Kristen Mary Polaski, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1304068 Issued in TX

Practice address

940 Clear Lake City Blvd
Webster, TX 77598-6606

Phone

(281) 282-1900

Fax

(281) 282-1990

NPI assigned

Nov 15, 2018

Sex

Female

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.

• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1891264149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HERMANN MUSEUM CIRCLE DR APT 4020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047385",
            "telephone_number": "610-306-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CLEAR LAKE CITY BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775986606",
            "telephone_number": "281-282-1900",
            "fax_number": "281-282-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLASKI",
        "first_name": "KRISTEN",
        "middle_name": "MARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1304068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piyuse Das DDS PA
• Planet Health Center, PLLC
• Mary Poag, MD
• Podiatry of Clear Lake, PLLC
• Polaris Anesthesia PLLC
• Sudheera Polavarapu, M.B.B.S
• Lorrie Faith Pool, APRN
• Julie Raeline Porter
• Sergey Sergeyevich Potepalov, MD
• Hussein Munaver Pothiwalla, MD

• Pediatric Physical Therapist in Webster, TX
• Providers in Webster, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.