Dencel Ray Vibas Polintan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.021659 Issued in IL

Practice address

1 Masonic Way
Sullivan, IL 61951-9467

Phone

(217) 728-4394

NPI assigned

May 18, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weil Foot and Ankle Institute LLCGroup PAC ID 4587655105, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Weil Foot and Ankle Institute LLC

  • Foot & Ankle Surgery Podiatrist
  • Mount Prospect, IL
  • NPI 1710965314
  Medicare reassignment Care Compare group NPD
• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028
  Medicare reassignment NPD
• Illinois Bone and Joint Institute LLC

  • Orthopaedic Surgery Physician
  • Bannockburn, IL
  • NPI 1205922432
  Medicare reassignment NPD
• Illinois Bone and Joint Institute, LLC

  • Orthopaedic Surgery Physician
  • Arlington Heights, IL
  • NPI 1962219568
  NPD
• Weil Foot and Ankle Institute LLC

  • Clinical Medical Laboratory
  • Mount Prospect, IL
  • NPI 1154942837
  NPD
• Weil Foot and Ankle Institute LLC

  • Podiatrist
  • Chicago, IL
  • NPI 1992678312
  NPD
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Weil Foot & Ankle Institute

  • Foot Surgery Podiatrist
  • Des Plaines, IL
  • NPI 1821097262
  NPD (past)

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1558718627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W POLK AVE APT 15",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MASONIC WAY",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619519467",
            "telephone_number": "217-728-4394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 N Meacham Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734824",
            "country_code": "US",
            "telephone_number": "630-967-2000",
            "fax_number": "630-873-8897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIBAS POLINTAN",
        "first_name": "DENCEL RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpolintan379521@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1325 N Meacham Rd",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601734824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas C. Best, O.D.
• Lisa V Thomas
• Kylie Tibbetts
• Cassi Upton
• Elizabeth Joy Vanneste
• Alyssa Michelle Voegele, ATC
• Micah Wiley, BA, MHP
• Courtney Michelle Williams, APRN
• Hayley Yoder, NP-C
• Victoria Youngs

• Physical Therapist in Sullivan, IL
• Providers in Sullivan, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.