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DR. JESSE POLANCO PT, DPT
NPI 1992211767
Physical Therapist - Orthopedic in Tampa, FL

Active since December 15, 2017
4019 HENDERSON BLVD, TAMPA, FL 33629(813) 395-0018 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2019, Dec 15, 2017 (2 updates tracked since 2017).

About Dr. Jesse Polanco Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSE POLANCO PT, DPT (NPI 1992211767) is an individual orthopedic provider in Tampa, Florida, licensed in Florida (PT33217) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1992211767
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JESSE POLANCOCredential: PT, DPT
Location Address4019 HENDERSON BLVDTampa, FL 33629-4939
Mailing Address100 W 169th St Apt 2Bronx, NY 10452-2808 · (917) 601-7515
Phone(813) 395-0018
Sole ProprietorYes
Enumeration DateDecember 15, 2017
Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration
✔ NPI 1992211767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in FL · PT33217
Definition
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 practice.
4019 HENDERSON BLVD, Tampa, FL 33629
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRACTICAL REHAB LLC
Physical Therapist
4019 HENDERSON BLVD
TAMPA, FL 33629
Hillsborough County (813) 395-0018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Polanco's NPI number?

The NPI number for Jesse Polanco is 1992211767. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Where is Jesse Polanco located?

Jesse Polanco practices at 4019 Henderson Blvd, Tampa, FL 33629. The listed phone number is (813) 395-0018.

What is Jesse Polanco's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Jesse Polanco was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.