DR. JODI REEVES POLK (NPI# 1265501167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265501167 |
| Entity Type | Individual |
| Full Name | DR. JODI REEVES POLK |
| Credential | D.C. |
| Practice Address |
1708 19th St Santa Monica CA 90404-4418 |
| Practice Telephone | 3104538684 |
| Mailing Telephone | 3104538684 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
DC17792 | CA | Chiropractic Providers |
| Street Address |
1708 19TH ST |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609892843 | Lisa Karin Haas | Physical Therapist | 1708 19th St, Santa Monica, CA 90404-4418 | 2006-07-14 |
| 1578973418 | Lisa Haas Physical Therapy, Inc. | Physical Medicine & Rehabilitation | 1708 19th St, C/o Bodyfirst, Santa Monica, CA 90404-4418 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707199 | Pacific Integrative Medical Group Inc | Chiropractor | 2232 Santa Monica Blvd # 101, Santa Monica, CA 90404-2312 | 2020-07-22 |
| 1710101407 | Christian Herman Reichardt | Chiropractor | 1347 23rd St # S102, Santa Monica, CA 90404-2025 | 2007-04-12 |
| 1568502144 | Chris A. Johnson | Chiropractor | 1009 Wilshire Blvd Ste 221, Santa Monica, CA 90401-1931 | 2007-02-06 |
| 1700996014 | Dean Goodman | Chiropractor | 720 Wilshire Blvd, 210, Santa Monica, CA 90401-1745 | 2006-08-30 |
| 1104848480 | Mary Trumpi | Chiropractor | 900 Wilshire Blvd Ste 410, Santa Monica, CA 90401-1886 | 2006-07-24 |
| 1235573189 | Lisa Marie Viapiano | Chiropractor | 2425 Colorado Ave, Suite 120, Santa Monica, CA 90404-3584 | 2013-04-22 |
| 1932404712 | Jack Trapasso | Chiropractor | 1821 Wilshire Blvd Ste 610, Santa Monica, CA 90403-5671 | 2011-01-25 |
| 1649500547 | Mary Trumpi Chiropractic, Inc | Chiropractor | 900 Wilshire Blvd Ste 410, Santa Monica, CA 90401-1886 | 2009-12-28 |
| 1316079841 | Eric Badener | Chiropractor | 1158 26th St, 149, Santa Monica, CA 90403-4621 | 2007-03-10 |
| 1386779049 | Brendan Michael Murray | Chiropractor | 2825 Santa Monica Blvd, Suite 101, Santa Monica, CA 90404-2429 | 2007-02-22 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.