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TRACEY POLK PT
NPI 1265607642
Physical Therapist - Geriatrics in Laurel, MD

Active since April 25, 2008
14235 PARK CENTER DR, LAUREL, MD 20707(301) 498-8100(301) 498-0009 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracey Polk Pt NPPES

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

TRACEY POLK PT (NPI 1265607642) is an individual geriatrics provider in Laurel, Maryland, licensed in Maryland (25698) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1265607642
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameTRACEY POLKCredential: PT
Location Address14235 PARK CENTER DRLaurel, MD 20707-5261
Mailing AddressPo Box 500Brookeville, MD 20833-0500 · (301) 498-8100 · Fax (301) 498-0009
Phone(301) 498-8100
Fax(301) 498-0009
Sole ProprietorYes
Enumeration DateApril 25, 2008
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1265607642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
Licenses✔ Licensed in MD · 25698✔ Licensed in NC · 6033
Definition
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.
14235 PARK CENTER DR, Laurel, MD 20707
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Other Names 1

Other Name (5)Tracey St Hill Blake

Other Providers at the Same Location NPPES 20

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

MRS. BEVERLY WHEELER OT
Occupational Therapist
14235 PARK CENTER DR
LAUREL, MD 20707
Prince George's County (301) 498-8100
BRIANNA FERNANDEZ-CALIENES SLP
Speech-Language Pathologist
14235 PARK CENTER DR
LAUREL, MD 20707
Prince George's County (301) 498-8100
OLIVIA PAGE SLP
Speech-Language Pathologist
14235 PARK CENTER DR
LAUREL, MD 20707
Prince George's County (301) 498-8100
DEJA STEPHENSON SLP
Speech-Language Pathologist
14235 PARK CENTER DR
LAUREL, MD 20707
Prince George's County (301) 498-8100
KRISTINA KUBISTAL-MEEKS
Speech-Language Pathologist
14235 PARK CENTER DR
LAUREL, MD 20707
Prince George's County (301) 498-8100
HANNAH DICK MS, CCC-SLP
Speech-Language Pathologist
14235 PARK CENTER DR
LAUREL, MD 20707
Prince George's County (301) 498-8100
SHELBY OPUSUNJU
Student in an Organized Health Care Education/Training Program
14235 PARK CENTER DR
LAUREL, MD 20707
Prince George's County (301) 498-8100
HANNAH HOYNS MA, CCC-SLP
Speech-Language Pathologist
14235 PARK CENTER DR
LAUREL, MD 20707
Prince George's County (301) 498-8100

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 Tracey Polk's NPI number?

The NPI number for Tracey Polk is 1265607642. It was assigned to this individual provider in the NPPES registry on April 25, 2008. The provider is also known as Tracey St Hill Blake.

Where is Tracey Polk located?

Tracey Polk practices at 14235 Park Center Dr, Laurel, MD 20707. The listed phone number is (301) 498-8100.

What is Tracey Polk's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Tracey Polk was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.