Theresa Ynez B Polistico, DPT - Physical Therapist in Appleton, WI

Theresa Ynez B Polistico, DPT is a Physical Therapist based in Appleton, Wisconsin. Theresa Ynez B Polistico is licensed to practice in Wisconsin (license number 1328824) and her current practice location is 1101 E South River St, Appleton, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 445-3132.

NPI number for Theresa Ynez B Polistico is 1356967558 and her current mailing address is 1101 E South River St, Appleton, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356967558.

Contact Information

Theresa Ynez B Polistico, DPT
1101 E South River St,
Appleton, WI 54915-2223
(920) 445-3132
Not Available



Healthcare Provider's Profile

Full NameTheresa Ynez B Polistico
GenderFemale
SpecialityPhysical Therapist
Location1101 E South River St, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356967558
  • Provider Enumeration Date: 06/23/2020
  • Last Update Date: 01/03/2021

Medical Identifiers

Medical identifiers for Theresa Ynez B Polistico such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356967558NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1251920 (Texas)Secondary
225100000XPhysical Therapist 1328824 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Ynez B Polistico is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theresa Ynez B Polistico, DPT
1101 E South River St,
Appleton, WI 54915-2223

Ph: (920) 830-9911
Theresa Ynez B Polistico, DPT
1101 E South River St,
Appleton, WI 54915-2223

Ph: (920) 445-3132

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› Verified 8 days ago


Physical Therapist in Appleton, WI

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Kathleen M. Vandrunen,
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Practice Location: 2915 N Meade St, Appleton, WI 54911
Phone: 920-831-8711    
Mrs. Lisa Katherine Buehler, PT
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Practice Location: 3375 W Brewster St, Appleton, WI 54914
Phone: 920-749-5870    
David Michael Denell, MPT LAT/C
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Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-4101    
Richelle Ag Fenter, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2200 S Kensington Drive, Appleton, WI 54915
Phone: 920-738-0200    Fax: 920-738-0383

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