Customized Physical Therapy Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008600 Issued in GA

Legal business name

CUSTOMIZED PHYSICAL THERAPY SERVICES INC

Practice address

1398 Victoria St
Douglasville, GA 30134-2661

Phone

(770) 485-2109

Fax

(770) 485-2109

NPI assigned

Feb 12, 2010

Organization subpart

No

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

Authorized official

Name

Jude Reggie Velez, PTNPI 1720046527

Title

Ceo

Phone

(770) 485-2109

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jude Reggie Santos Velez, PT

  • Physical Therapist
  • Douglasville, GA
  • NPI 1720046527
  NPD (past) Authorized official
• Fe Socorro Daproza Velez, P.T.

  • Physical Therapist
  • Villa Rica, GA
  • NPI 1386749950
  NPD (past)

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1437481637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 VICTORIA ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342661",
            "telephone_number": "770-485-2109",
            "fax_number": "770-485-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 VICTORIA ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342661",
            "telephone_number": "770-485-2109",
            "fax_number": "770-485-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMIZED PHYSICAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "JUDE REGGIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-485-2109",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analvis Cuesta, MSN, FNP
• Lakietta Culkin-Taylor, NP
• Justin Micheal Culp, HIS
• Taffey-Marie Alison Cunnien, LPC
• Jailene Gabriella Cuquejo
• Katherine Dacosta
• Tonya Cherise Dailey, PHARM.D.
• Daily Healing Counseling Solutions, Inc.
• Abiola Damola, PMHNP
• Gurlene Daphnis

• Physical Therapist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.