Gerardo Valadez Jr., PT, DPT

Key facts

NPI

1003537846

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

Practice address

7135 Expressway 77 N. Frontage Road
Suite B
Olmito, TX 78575

Phone

(323) 480-6396

NPI assigned

Sep 9, 2022

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2022.

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1003537846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 RED ROSE ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209315",
            "telephone_number": "323-480-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 EXPRESSWAY 77 N. FRONTAGE ROAD",
            "address_2": "SUITE B",
            "city": "OLMITO",
            "state": "TX",
            "postal_code": "78575",
            "telephone_number": "323-480-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALADEZ",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Olmito, TX · Physical Therapist in Texas