Jeremy Veine, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2148492 Issued in TX

Practice address

9525 N Beach St Ste 413
Fort Worth, TX 76244-6438

Phone

(817) 502-7411

Fax

(817) 502-7412

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1134907553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114 STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925251",
            "telephone_number": "817-502-4211",
            "fax_number": "817-502-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 N BEACH ST STE 413",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446438",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEINE",
        "first_name": "JEREMY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2148492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ved V Aggarwal MD PA (Texas Pain Institute)
• Balaji Ayyappan Veerappan, M.D.
• Diana Vega Torres, CF-SLP
• Vein Rain Infusion P.C.
• Delores Veine
• Lucas John Veitzel
• Blanca Itzel Vela, LPC-S
• Ricardo Vela, M.D.
• Rachel Velarde, CNM
• Raquel Velasco Marinelarena

• Physical Therapy Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.