Mario Polanco, B.S, DEGREE
NPI 1073640587 · Physical Therapist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Polanco, B.S, DEGREE is a Physical Therapist provider in Los Angeles, CA (NPI 1073640587).
Provider details
- NPI number
- 1073640587
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- B.S, DEGREE
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT 11680 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
167 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 64 | $30 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 60 | $22 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 43 | $10 |
Typical Medicare-allowed amounts for these services range $10–$30 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2011-12-22
Frequently asked questions
- What is Mario Polanco's NPI number?
- Mario Polanco's National Provider Identifier (NPI) is 1073640587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Polanco's specialty?
- Mario Polanco is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mario Polanco located?
- Mario Polanco's practice location on file with NPPES is 5301 Whittier Blvd, Los Angeles, CA 90022-4038.
- What is Mario Polanco's phone number?
- The practice phone number listed in the NPPES registry for Mario Polanco is (323) 887-7458.
- Does Mario Polanco accept Medicare?
- Mario Polanco is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Polanco's NPI active?
- Yes — Mario Polanco's NPI (1073640587) is active in the NPPES registry as of the last update on 2011-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.