Louise Wolgat Polanco, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1249266 Issued in TX

Practice address

11661 Preston Rd
173
Dallas, TX 75230-2745

Phone

(214) 265-7200

Fax

(214) 265-7521

NPI assigned

Sep 25, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Louise Wolgat Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1447652094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY",
            "address_2": "#102-20SWSS",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706510",
            "telephone_number": "214-265-7200",
            "fax_number": "214-265-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 PRESTON RD",
            "address_2": "173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302745",
            "telephone_number": "214-265-7200",
            "fax_number": "214-265-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLGAT POLANCO",
        "first_name": "LOUISE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1249266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1249266",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISE",
            "last_name": "WOLGAT",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Nichole Wolfington
• Larry Miller Wolford, DMD
• Jillian Wolfrum, PHARM. D
• Andrew Wolfskill
• Tina L. Wolfson, WHCNP
• Joshua Paul Wolkin, LPC
• Casey Wollenman
• Rebekah Cagney Wollenman, FNP-C
• Sandra Lee Wollerton, CAFI
• Teresa Ann Wollo, CRT, RCP

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.