POLARIS REHABILITATION, LLC
NPI 1114467701
Prosthetic/Orthotic Supplier in Youngsville, NC

Active since March 01, 2017
1620 US 1 HWY, YOUNGSVILLE, NC 27596(984) 237-0096(800) 877-3496 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 2, 2020, Aug 6, 2019, Mar 2, 2017 (3 updates tracked since 2017).

About Polaris Rehabilitation, Llc NPPES

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

POLARIS REHABILITATION, LLC (NPI 1114467701) is a healthcare organization registered as a prosthetic/orthotic supplier in Youngsville, North Carolina and active in the NPI registry since March 2017. The organization lists John Deguzman, Organizer/member, as its authorized official.

NPPES Registry Identity

NPI1114467701
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePOLARIS REHABILITATION, LLC
Location Address1620 US 1 HWYYoungsville, NC 27596-9219
Mailing Address2208 Rainy Lake StWake Forest, NC 27587-3423 · (630) 362-0029 · Fax (800) 877-3496
Fax(800) 877-3496
Organization SubpartNo
Authorized OfficialJohn DeguzmanOrganizer/member · (630) 362-0029
Enumeration DateMarch 1, 2017
Last NPPES UpdateJanuary 2, 20203 updates tracked since enumeration
✔ NPI 1114467701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedPhysical TherapistTaxonomy 225100000X · License P10385 (NC)
1620 US 1 HWY, Youngsville, NC 27596

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Polaris Rehabilitation, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Polaris Rehabilitation, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1750314910
1620 US 1 HWY
Youngsville, NC 27596
(984) 237-0096
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polaris Rehabilitation, LLC's NPI number?

The NPI number for Polaris Rehabilitation, LLC is 1114467701. It was assigned to this organization in the NPPES registry on March 1, 2017.

Where is Polaris Rehabilitation, LLC located?

Polaris Rehabilitation, LLC is located at 1620 Us 1 Hwy, Youngsville, NC 27596. The listed phone number is (984) 237-0096.

What is Polaris Rehabilitation, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Is Polaris Rehabilitation, LLC enrolled in Medicare?

Yes. Polaris Rehabilitation, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Polaris Rehabilitation, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Polaris Rehabilitation, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Polaris Rehabilitation, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Polaris Rehabilitation, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Polaris Rehabilitation, LLC was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.