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MICHAEL P POLILLO DC
NPI 1700244670
Chiropractor - Sports Physician in Bremerton, WA

Active since February 05, 2016Accepts Medicare Assignment
1487 NE DAWN RD, BREMERTON, WA 98311(360) 373-8899(360) 373-8891 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael P Polillo Dc NPPES

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

MICHAEL P POLILLO DC (NPI 1700244670) is an individual sports physician in Bremerton, Washington, licensed in Washington (CH60629838) and active in the NPI registry since February 2016. He is a graduate of Western States College Of Chiropractic (2015).

NPPES Registry Identity

NPI1700244670
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameMICHAEL P POLILLOCredential: DC
Location Address1487 NE DAWN RDBremerton, WA 98311-3122
Mailing Address1487 Ne Dawn RdBremerton, WA 98311-3122 · (360) 373-8899 · Fax (360) 373-8891
Phone(360) 373-8899
Fax(360) 373-8891
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2015
Enumeration DateFebruary 5, 2016
✔ NPI 1700244670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in WA · CH60629838
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
1487 NE DAWN RD, Bremerton, WA 98311
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael P Polillo Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890092019
PECOS Enrollment IDI20160401000592

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Polillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smith Chiropractic Inc
3.2 mi
Chiropractor
1100 WHEATON WAY, SUITE B
Bremerton, WA 98310
  • Reassigned Medicare billing, Washington enrollment
  • 3 clinicians in this Medicare group
NPI 1164757555 (360) 373-8899
Pro Sport And Spine PLLC
18 mi
Sports Physician
5160 BORGEN BLVD STE 101
Gig Harbor, WA 98332
  • Reassigned Medicare billing, Washington enrollment
  • 16 clinicians in this Medicare group
NPI 1841672433 (253) 853-4000

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

Other Providers at the Same Location NPPES 8

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

KANLAYA DANIELS LMT
Massage Therapist
1487 NE DAWN RD
BREMERTON, WA 98311
Kitsap County (360) 373-8899
SHYLYNN I DEWEY LMT
Massage Therapist
1487 NE DAWN RD
BREMERTON, WA 98311
Kitsap County (360) 373-8899
KELLY MORGAN HOWELL LMP
Specialist
1487 NE DAWN RD
BREMERTON, WA 98311
Kitsap County (360) 373-8899
JARED J SHINKARUK MA61459672
Massage Therapist
1487 NE DAWN RD
BREMERTON, WA 98311
Kitsap County (360) 373-8899
MOISES REQUENA GARZA LMP
Massage Therapist
1487 NE DAWN RD
BREMERTON, WA 98311
Kitsap County (360) 373-8899
MRS. NANCY ERIN REYNOLDSON LMT
Massage Therapist
1487 NE DAWN RD
BREMERTON, WA 98311
Kitsap County (360) 373-8899
JOANNA V EMERY LMP
Massage Therapist
1487 NE DAWN RD
BREMERTON, WA 98311
Kitsap County (360) 377-8899
JUSTIN REID D.C.
Chiropractor
1487 NE DAWN RD
BREMERTON, WA 98311
Kitsap County (360) 373-8899

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 Michael Polillo's NPI number?

The NPI number for Michael Polillo is 1700244670. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Where is Michael Polillo located?

Michael Polillo practices at 1487 NE Dawn Rd, Bremerton, WA 98311. The listed phone number is (360) 373-8899.

What is Michael Polillo's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Michael Polillo enrolled in Medicare?

Yes. Michael Polillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Polillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Polillo reassigns Medicare benefits to 2 organizations: Smith Chiropractic Inc (Bremerton, WA) and Pro Sport And Spine PLLC (Gig Harbor, WA). Each 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 Michael Polillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Polillo accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael Polillo 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 Michael Polillo was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.