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

Dencel Ray Vibas Polintan

Individual provider Physical Therapist · NPI 1558718627

Dencel Ray Vibas Polintan is a Physical Therapist in Private Practice in Sullivan, Illinois. Qualified in 2012, 14 years ago. Practices with Weil Foot and Ankle Institute LLC, a 55-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2016

Practice location Address checks out

1 Masonic Way
Sullivan, IL 61951-9467
Phone: (217) 728-4394
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1325 N Meacham Rd, Schaumburg, IL 60173-4824 — (630) 967-2000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.021659 (IL)

Record details

NPI number1558718627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2016
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Weil Foot And Ankle Institute Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sullivan