KATHLEEN B POLO MD
NPI 1013199579
Neuromusculoskeletal Medicine & OMM in Tacoma, WA

Q: What is Kathleen Polo's NPI number?

The NPI number for Kathleen Polo is 1013199579. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Q: What is Kathleen Polo's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Polo was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 27, 2007PECOS Enrolled

915 6TH AVE STE 200, TACOMA, WA 98405(253) 403-7299 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kathleen B Polo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN B POLO MD (NPI 1013199579) is an individual neuromusculoskeletal medicine & omm provider in Tacoma, Washington, licensed in Washington (MD60221607) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013199579

Entity TypeIndividualFemale

Primary Taxonomy204D00000X

Provider Legal NameKATHLEEN B POLOCredential: MD

Location Address915 6TH AVE STE 200Tacoma, WA 98405-4682

Mailing Address915 6th Ave Ste 200Tacoma, WA 98405-4682 · (253) 403-7299

Phone(253) 403-7299

Sole ProprietorNo

Enumeration DateNovember 27, 2007

Last NPPES UpdateFebruary 27, 2013

✔ NPI 1013199579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

Licenses✔ Licensed in WA · MD60221607✔ Licensed in CO · 36931

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

915 6TH AVE STE 200, Tacoma, WA 98405

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen B Polo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISA LOUISE GARZA PA-C

Physician Assistant