NPI
Johanna Whitney Povlock
NPI 1366551491
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- OTR/L
- Type
- Individual
- Enumeration date
- 2006-08-30
- Last updated
- 2019-10-22
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Specialties
Licenses
- License NY
- 010137-1
Location
- Practice location
- 7057 Kingdom Rd
- City
- Memphis NY
- Postal code
- 13112-8702
- Phone
- (315) 569-5639
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Memphis, NY. 10 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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