Individual provider Active NPI

Matthew Polakow, LMT

  • Massage Therapist
  • Highland Park, IL
National Provider Identifier
1992605661
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.024488 Issued in IL
Practice address
1779 Green Bay Rd Ste 101
Highland Park, IL 60035-3118
Phone
(847) 266-0131
Fax
(847) 266-0127
NPI assigned
Nov 6, 2026
Last updated
Nov 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.024488 IL Primary

Addresses

Primary practice location

1779 Green Bay Rd Ste 101
Highland Park, IL 60035-3118

Mailing address

1779 Green Bay Rd Ste 101
Highland Park, IL 60035-3118
Phone (847) 266-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793923200000",
    "number": "1992605661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 GREEN BAY RD STE 101",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353118",
            "telephone_number": "847-266-0131",
            "fax_number": "847-266-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 GREEN BAY RD STE 101",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353118",
            "telephone_number": "847-266-0131",
            "fax_number": "847-266-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAKOW",
        "first_name": "MATTHEW",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.024488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.