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

Theresa Ynez B Polistico, DPT

Individual provider Physical Therapist · NPI 1356967558

Theresa Ynez B Polistico, DPT is a Physical Therapist in Appleton, Wisconsin. Licensed in Texas and Wisconsin. Registered with an NPI since 2020.

Licensed in
TX, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1101 E South River St
Appleton, WI 54915-2223
Phone: (920) 445-3132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1328824 (WI)
Physical Therapist Taxonomy 225100000X · Licence 1251920 (TX)

Record details

NPI number1356967558
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESJanuary 3, 2021
Certification dateJanuary 3, 2021

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