MICHAEL LANG POLLEY (NPI# 1215229687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215229687 |
| Entity Type | Individual |
| Full Name | MICHAEL LANG POLLEY |
| Credential | ATP |
| Practice Address |
4703 Dc Dr Ste 100 Tyler TX 75701 |
| Mailing Address |
4703 Dc Dr Ste 100 Tyler TX 75701-0405 |
| Practice Telephone | 9035975656 |
| Practice Fax Number | 9037295496 |
| Mailing Telephone | 9035975656 |
| Mailing Fax Number | 9035975580 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225CA2400X |
Rehabilitation Counselor Specialization: Assistive Technology Practitioner |
10296600 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 247200000X | Technician, Other | 10296600 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4703 DC DR STE 100 |
| City | TYLER |
| State | TX |
| Zip Code | 75701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912967563 | American Preferred Home Medical, LLC | Durable Medical Equipment & Medical Supplies | 4703 Dc Dr Ste 100, Tyler, TX 75701 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 225CA2400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| Specialization | Assistive Technology Practitioner |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912290099 | Roel Mario Johnson | Rehabilitation Counselor | 805 N Glenwood Blvd, Tyler, TX 75702-5033 | 2011-05-23 |
| 1962840223 | Daniel P Armstrong | Rehabilitation Counselor | 805 N Glenwood Blvd, Tyler, TX 75702-5033 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632435 | Patrick Brian Boardman | Rehabilitation Counselor | 4606 Sunrise Dr, Missouri City, TX 77459-4522 | 2019-01-03 |
| 1932603511 | Gerad Parker Howard | Rehabilitation Counselor | 1860 S Seguin Ave # B1, New Braunfels, TX 78130-3914 | 2018-03-20 |
| 1427407436 | Byron Wallace | Rehabilitation Counselor | 8501 Forsythia Dr, Mckinney, TX 75070 | 2016-06-09 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1144596297 | Chase Bruton | Rehabilitation Counselor | 1629 Wyoming Ave, San Angelo, TX 76904-7152 | 2012-03-22 |
| 1497034995 | Bradley Michael Smith | Rehabilitation Counselor | 6209 Trail Lake Dr, Fort Worth, TX 76133-3405 | 2011-08-15 |
| 1215224936 | Rajesh B Amin | Rehabilitation Counselor | 2049 W Walnut Hill Ln, Irving, TX 75038-4404 | 2011-07-01 |
| 1225320492 | Fred J Urbanovsky | Rehabilitation Counselor | 2307 Walsh Dr, Round Rock, TX 78681-1437 | 2011-05-06 |
| 1982895991 | Tammy Compere | Rehabilitation Counselor | 1070 Arion Cir, Suite 164, San Antonio, TX 78216-2838 | 2007-08-05 |
| 1629678032 | Kelly Ann Blessing | Rehabilitation Counselor | 2111 Fm 1960 Rd E, Humble, TX 77338-5229 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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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.