Polaris Rehabilitation, LLC
NPI 1114467701 · Prosthetic/Orthotic Supplier · Youngsville, NC
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Polaris Rehabilitation, LLC is a Prosthetic/Orthotic Supplier organization in Youngsville, NC (NPI 1114467701).
Provider details
- NPI number
- 1114467701
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- John Deguzman, Organizer/Member(630) 362-0029
- License
- P10385 (NC)
Specialties & taxonomies
Suppliers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-01
- Last updated
- 2020-01-02
- Certified
- 2020-01-02
Frequently asked questions
- What is Polaris Rehabilitation, LLC's NPI number?
- Polaris Rehabilitation, LLC's National Provider Identifier (NPI) is 1114467701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Polaris Rehabilitation, LLC?
- Polaris Rehabilitation, LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Polaris Rehabilitation, LLC located?
- Polaris Rehabilitation, LLC's practice location on file with NPPES is 1620 US 1 Hwy, Youngsville, NC 27596-9219.
- What is Polaris Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for Polaris Rehabilitation, LLC is (984) 237-0096.
- Does Polaris Rehabilitation, LLC accept Medicare?
- Polaris Rehabilitation, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Polaris Rehabilitation, LLC?
- The authorized official listed on Polaris Rehabilitation, LLC's NPPES record is John Deguzman, Organizer/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Polaris Rehabilitation, LLC's NPI active?
- Yes — Polaris Rehabilitation, LLC's NPI (1114467701) is active in the NPPES registry as of the last update on 2020-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.