Individual provider Active NPI

Brianna Polites, DPT

  • Physical Therapist
  • Lancaster, PA
National Provider Identifier
1891525804
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032614 Issued in PA
Practice address
804 New Holland Ave
Lancaster, PA 17602-2163
Phone
(717) 396-7766
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT032614 PA Primary

Addresses

Primary practice location

804 New Holland Ave
Lancaster, PA 17602-2163

Mailing address

100 Highlands Dr Ste 100
Lititz, PA 17543-7692
Phone (717) 625-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815004724 PA Practitioner - Physical Therapist in Private Practice 3274071659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartz Physical Therapy, Inc.Group PAC ID 8426023292, 24 clinicians

Practice addresses (Care Compare)

804 New Holland Ave
Lancaster, PA 17602-2163
Phone (717) 396-7766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartz Physical Therapy, Inc Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients

Locations

804 New Holland Ave
Lancaster, PA 17602
Phone (717) 396-7766

100 Highlands Dr
Ste 100
Lititz, PA 17543
Phone (717) 625-2228

755 E Main St
Mount Joy, PA 17552
Phone (717) 492-8708

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.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1891525804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLANDS DR STE 100",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437692",
            "telephone_number": "717-625-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 NEW HOLLAND AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022163",
            "telephone_number": "717-396-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITES",
        "first_name": "BRIANNA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.