Shelly Polnick Leicester, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1134518 Issued in TX

Practice address

5757 Warren Pkwy
Suite 180
Frisco, TX 75034-4274

Phone

(214) 618-4301

Fax

(214) 618-4302

NPI assigned

Nov 1, 2006

Last updated

Jun 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Southwestern Medical School at Dallas, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthotexas Physicians and Surgeons, PLLCGroup PAC ID 3375724792, 35 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelly.leicester.1@15749.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthotexas Physicians and Surgeons, PLLC

  dba OrthoTexas

  • Orthopaedic Surgery Physician
  • Plano, TX
  • NPI 1740590066
  Medicare reassignment Care Compare group NPD
• Orthotexas Physicians and Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Carrollton, TX
  • NPI 1053612564
  NPD
• Orthotexas Physicians and Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Sherman, TX
  • NPI 1619541711
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1952489882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WARREN PKWY",
            "address_2": "SUITE 180",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344274",
            "telephone_number": "214-618-4301",
            "fax_number": "214-618-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WARREN PKWY",
            "address_2": "SUITE 180",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344274",
            "telephone_number": "214-618-4301",
            "fax_number": "214-618-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICESTER",
        "first_name": "SHELLY",
        "middle_name": "POLNICK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1134518",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1134518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Trails Therapy, PLLC
• Legacy Urgent Care, PA
• Legend Anesthesia Solutions, LLC
• Michael Legendre
• Legent Outpatient Imaging Frisco LLC
• Anne Collier Lemasters, LMSW
• Jodi Gould Lemeshev, M.D.
• Oyetokunbo Lemoru, FNP
• Zai Len
• Lena Provider Services LLC

• Physical Therapist in Frisco, TX
• Providers in Frisco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.