Ermol Valenzuela Villareal Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

608 Maidstone CT
Millsboro, DE 19966-3365

Phone

(302) 212-9075

NPI assigned

Oct 14, 2024

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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

• Lakeside Physical Therapy, LLC

  • Rehabilitation Practitioner
  • Laurel, DE
  • NPI 1184854929
  NPD (past)
• PT Works de, LLC

  • Rehabilitation Practitioner
  • Milford, DE
  • NPI 1750010492
  NPD (past)

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1356161566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MAIDSTONE CT",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663365",
            "telephone_number": "302-212-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MAIDSTONE CT",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663365",
            "telephone_number": "302-212-9075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 N DuPont Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199631060",
            "country_code": "US",
            "telephone_number": "302-422-2518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAREAL",
        "first_name": "ERMOL",
        "middle_name": "VALENZUELA",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas F Vandrunen, LPCMH
• Vargas Nino Healthcare LLC
• Marsha Vaughn
• Regidor Adriano Verzosa, P.T.
• Theresa Vial, LCSW
• Christina M Vocaturo, M.S.W.
• Julie E Vollbrecht, DPT
• Samuel Joseph Vollbrecht, DPT
• Dorothy Vosik, DO
• Gabrielle Liane Wade, BSN

• Physical Therapy Assistant in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Physical Therapy Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.