Todd Pollock, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1092 Issued in AK

Practice address

130 S Willow St Ste 1
Kenai, AK 99611-9107

Phone

(907) 714-4536

Fax

(907) 283-7300

NPI assigned

Jul 14, 2009

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

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freedom Physical Therapy and Sports Rehabilitation LLCGroup PAC ID 1658682802, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Freedom Physical Therapy & Sports Rehabilitation, LLC

  • Physical Therapist
  • Kenai, AK
  • NPI 1013318047
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1891925632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S WILLOW ST STE 1",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996119107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S WILLOW ST STE 1",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996119107",
            "telephone_number": "907-714-4536",
            "fax_number": "907-283-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "TODD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Phillips, OD
• Phoenix Families United, LLC
• Katherine C. Piatt, CDM
• Mackenzie Rae Pietz
• Mikaela Pitsch
• Shayne Pope
• Shelley Dawne Powell- Zimmer
• Pribbenow Place
• Gretchen Pribbenow
• Sherra Pritchard

• Physical Therapist in Kenai, AK
• Providers in Kenai, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.