Individual provider Active NPI

Valerie Lynn Dellocono, DPT

  • Physical Therapist
  • Crestview, FL
National Provider Identifier
1497851992
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25276 Issued in FL
Practice address
184 E Redstone Ave Ste a
Crestview, FL 32539-5372
Phone
(850) 689-3127
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT25276 FL Primary

Addresses

Primary practice location

184 E Redstone Ave Ste a
Crestview, FL 32539-5372

Mailing address

6196 Lake Ella Rd
Crestview, FL 32539-8216
Phone (908) 433-7054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041222000521 NJ Practitioner - Physical Therapist in Private Practice 4486612439 Reassigns benefits to 1 organization
I20210511000292 PA Practitioner - Physical Therapist in Private Practice 4486612439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT25276FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehab Somerset PA CurrentSince Mar 26, 2021 Accepting new patients
Trinity Rehab Somerset PA Current Accepting new patients
Trinity Rehab Somerset PA CurrentSince Jan 24, 2017 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist Current Accepting new patients
Trinity Rehab Somerset PA CurrentSince Jan 24, 2017 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
Sportscare of America, PC Physical Therapist Past Accepting new patients
Gulf Breeze Physical Therapy Inc. Physical Therapist PastSince Nov 10, 2024 Accepting new patients
Rehabclinics SPT Inc Physical Therapist PastSince Nov 10, 2024 Accepting new patients

Locations

150 Chambers Bridge Rd
Ste 200
Brick, NJ 08723
Phone 7322195700 ext. 110

465 Cranbury Rd
Ste 103
East Brunswick, NJ 08816
Phone (732) 254-7085

3635 Quakerbridge Rd
Ste 38
Hamilton, NJ 08619
Phone (609) 631-5200

554 State Route 35
Red Bank, NJ 07701

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

175 Route 37 W
Toms River, NJ 08755
Phone (732) 281-8630

175 Route 37 W
#R
Toms River, NJ 08755

2826 S Eagle Rd
#121
Newtown, PA 18940

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1497851992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 LAKE ELLA RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325398216",
            "telephone_number": "908-433-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E REDSTONE AVE STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395372",
            "telephone_number": "850-689-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLOCONO",
        "first_name": "VALERIE",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.