Individual provider · Type 1 NPI

Jesse Polanco, PT, DPT

Orthopedic Physical Therapist · Tampa, FL

NPI number 1992211767 Active

Practice location

4019 Henderson Blvd
Tampa, FL 33629-4939

Mailing address

100 W 169th St Apt 2
Bronx, NY 10452-2808

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800XPT33217 (FL)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1992211767

Jesse Polanco, PT, DPT's National Provider Identifier is 1992211767, issued on Dec 15, 2017. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Tampa, FL. The record was last updated on Oct 24, 2019.