TRACEY POLK PT
NPI 1265607642
Physical Therapist - Geriatrics in Laurel, MD
NPI Status: Active since April 25, 2008
Contact Information
14235 PARK CENTER DR
LAUREL, MD
ZIP 20707
Phone: (301) 498-8100
Fax: (301) 498-0009
- Individual
- Female
- Physical Therapist
- Geriatrics
About TRACEY POLK
This page provides the complete NPI Profile along with additional information for Tracey Polk, a provider established in Laurel, Maryland with a medical specialization in Physical Therapist, focusing in geriatrics . The healthcare provider is registered in the NPI registry with number 1265607642 assigned on April 2008. The practitioner's primary taxonomy code is 2251G0304X with license number 25698 (MD). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1265607642
- Provider Name
- TRACEY POLK PT
- Other Name
- TRACEY ST HILL BLAKE
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 14235 PARK CENTER DR LAUREL, MD 20707
- Location Phone
- (301) 498-8100
- Location Fax
- (301) 498-0009
- Mailing Address
- PO BOX 500 BROOKEVILLE, MD 20833
- Mailing Phone
- (301) 498-8100
- Mailing Fax
- (301) 498-0009
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-25-2008
- Last Update Date
- 01-30-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Geriatrics
- Taxonomy Code
- 2251G0304X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 25698
- License State
- MD
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 6033 (NC) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 6 | 0 | 7 | 6 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 12 | 0 | 14 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 2 + 0 + 1 + 4 + 6 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1265607642 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275310880 | ARIANA SANTO PIETRO SLP Individual | Speech-Language Pathologist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1861271173 | COREY HOLLOWAY OT Individual | Occupational Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1790567527 | ARYANNA ANDRES SLP Individual | Speech-Language Pathologist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1740720382 | RACHAEL TAYLOR OTR/L Individual | Occupational Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1548031875 | ERIC TIRNAUER OTR/L Individual | Occupational Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1073370383 | SHELBY OPUSUNJU Individual | Student in an Organized Health Care Education/Training Program | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1962260455 | REBECCA ROMELFANGER SLPA Individual | Specialist/Technologist (Speech-Language Assistant) | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1396587366 | KATHERINE D'ANDREA SLP-CF Individual | Speech-Language Pathologist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1023856010 | OLIVIA PAGE SLP Individual | Speech-Language Pathologist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1447088968 | GRACE POTIS Individual | Student in an Organized Health Care Education/Training Program | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1639908924 | LILLIAN KATHLEEN KENNEDY Individual | Occupational Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1275639155 | ASSOCIATED PROFESSIONAL REHABILITATION SERVICES, INC. Organization | Physical Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1386744035 | REHABILITATION SERVICES, INC. Organization | Physical Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 943-9780 |
| 1730919739 | DANIELLE HARRIS SLP-A Individual | Specialist/Technologist (Speech-Language Assistant) | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1548958614 | ANDREW JOSEPH SULLIVAN OT Individual | Occupational Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1578294187 | ALYSSA EARWOOD Individual | Speech-Language Pathologist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1225231913 | GWENDOLYN O'TANG PT Individual | Physical Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1225253685 | MISS MAHPARA I FAROOQUI OTR Individual | Occupational Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1275879611 | MRS. ELLEN MARIE EWING PT Individual | Physical Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
| 1306134663 | MS. DAKEIA DALE OTR/L Individual | Occupational Therapist | 14235 PARK CENTER DR LAUREL, MD 20707 (301) 498-8100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265607642, enumerated in the NPI registry as an "individual" on April 25, 2008
The provider is located at 14235 Park Center Dr Laurel, Md 20707 and the phone number is (301) 498-8100
The provider's speciality is Physical Therapist with taxonomy code 2251G0304X with a focus in Geriatrics
This NPI record was last updated on April 25, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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