Doctor profile · Federal record
Dr. Kathleen Polak, PT
Specialist (CMS: Physical Therapist in Private Practice) · Port Jefferson, NY
- NPI 1013329333
- Accepts Medicare
- MIPS 96.5 / 100 · 2023
- 13 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
635 Belle Terre RD, Ste 204
Port Jefferson, NY 117771977
(631) 474-0008
fax (631) 474-0224
Credentials & registration
- NPI registered
- May 2014 — 12 yrs on file
- Profile last updated
- June 9, 2023
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 174400000X — NUCC code
- State license (1)
- New York #037194
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013329333. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,818
Distinct HCPCS
4
Medicare allowed
$77,968
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,707 | 213 | $27 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 999 | 197 | $22 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 83 | 81 | $111 | |
G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 29 | 15 | $10 |
In context: peer comparison
Among 1 peers in Port Jefferson Specialist, average services per provider: 704. This provider delivers 4.0× the peer median.Frequently asked questions
What is Dr. Kathleen Polak's medical specialty?
Dr. Kathleen Polak practices Specialist in Port Jefferson, NY.
Where does Dr. Kathleen Polak practice?
Dr. Kathleen Polak practices at 635 Belle Terre RD, Port Jefferson, NY 117771977. Office phone: 6314740008.
What is Dr. Kathleen Polak's NPI?
Dr. Kathleen Polak's National Provider Identifier (NPI) is 1013329333, issued by NPPES.
Does Dr. Kathleen Polak accept Medicare assignment?
Yes. Dr. Kathleen Polak accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kathleen Polak commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140); Evaluation for physical therapy, typically 20 minutes (HCPCS 97161). Source: CMS Medicare Physician & Other Practitioners file.