Individual provider

Mario Polanco, B.S, DEGREE

Physical Therapist Specialist Medicare enrolled

Mario Polanco, B.S, DEGREE is a Physical Therapist in Los Angeles, CA, registered under NPI 1073640587. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 5301 WHITTIER BLVD ATRIUM SUITE, Los Angeles, CA 90022. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5301 WHITTIER BLVD ATRIUM SUITE, Los Angeles, CA 90022 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
11680 CA Physical Therapist primary
PT 11680 CA Specialist

This provider holds licence 11680 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physical Therapist In Private Practice
PAC ID
7517244569

Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Physical Therapist covers

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices. NUCC Health Care Provider Taxonomy, code 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
225100000X Physical Therapist 11680 CA primary
174400000X Specialist PT 11680 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1073640587 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 28, 2007
Last updatedDec 22, 2011
StatusActive
Sole proprietorYes
CredentialB.S, DEGREE
Practice address 5301 WHITTIER BLVD
ATRIUM SUITE
Los Angeles, CA 90022
(323) 887-7458
Fax (323) 887-8288
Mailing address PO BOX 45195
Los Angeles, CA 90045
Other identifiers 20-5607292 · TAX ID# (CA)
This record was last updated on Dec 22, 2011, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1073640587 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 7 3 6 4 0 5 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 5 3 3 4 0 5 7

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1073640587?
NPI 1073640587 is the National Provider Identifier assigned to Mario Polanco, B.S, DEGREE in Los Angeles, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physical Therapist cover?
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each…
How do I contact Mario Polanco, B.S, DEGREE?
The phone number on file with NPPES is (323) 887-7458, last updated Dec 22, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Mario Polanco, B.S, DEGREE accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1073640587 a valid number?
Yes. 1073640587 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.