MEDICARE: POLAR PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1205638756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POLAR PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	PO BOX 55274
Second Line	:
City	:	NORTH POLE
State	:	AK
Zip	:	99705-0274
Country	:	US
Telephone Number	:	907-322-5516
Fax Number	:

Provider Business Practice Location Address
First Line	:	2936 BADGER RD
Second Line	:
City	:	NORTH POLE
State	:	AK
Zip	:	99705-5567
Country	:	US
Telephone Number	:	907-322-5516
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	CURTIS B GELINEAU
Credential	:	DPT, PT
Telephone Number	:	907-322-5516

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/26/2025

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