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

Vicki Maria Tysseling Mattiace, PT

Individual provider Physical Therapist · NPI 1578734711

Vicki Maria Tysseling Mattiace, PT is a Physical Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

124 W Polk St Apt 807
Chicago, IL 60605-1767
Phone: (312) 583-9077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1578734711
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 16, 2008
Last updated in NPPESMarch 16, 2008

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