Mr Jon E Polly, PT | |
16223 Devonshire St, Granada Hills, CA 91344-6910 | |
(818) 831-2400 | |
(818) 831-2411 |
Full Name | Mr Jon E Polly |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 16223 Devonshire St, Granada Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710020037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26847 (California) | Primary |
Provider Name | Blue Sky Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1942986229 PECOS PAC ID: 8729434832 Enrollment ID: O20231026000286 |
Mailing Address | Practice Location Address |
---|---|
Mr Jon E Polly, PT 16219 Devonshire St, Granada Hills, CA 91344-6910 Ph: (818) 831-2400 | Mr Jon E Polly, PT 16223 Devonshire St, Granada Hills, CA 91344-6910 Ph: (818) 831-2400 |
Colleen Ann Duran, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15915 Devonshire St, Granada Hills, CA 91344 Phone: 717-826-2826 | |
Jordan Wilhelm, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10725 Zelzah Ave Unit B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Mari Iyama, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Evan Filice, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Andrei Carballo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Mr. Kirk Maroy Briggs, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, Suite 330, Granada Hills, CA 91344 Phone: 818-832-7298 Fax: 818-832-7249 | |
Lorrinne Pinlac, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15912 Harvest St, Granada Hills, CA 91344 Phone: 818-636-2260 |