Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cameron Polich

Individual provider Physical Therapist · NPI 1164283602

Cameron Polich is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2023, 3 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2024
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Practice location Address checks out

3048 E Baseline Rd Ste 125
Mesa, AZ 85204-7288
Phone: (602) 313-4664
Fax: (480) 222-1457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (AZ)

Record details

NPI number1164283602
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa