Von Carlo Viaje Villaluz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050964 Issued in NY

Practice address

20960 Starbrick Rd
Edwardsburg, MI 49112-9211

Phone

(347) 886-4261

NPI assigned

Aug 28, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1598540718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20960 STARBRICK RD",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491129211",
            "telephone_number": "347-886-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20960 STARBRICK RD",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491129211",
            "telephone_number": "347-886-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Hively Ave",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465171742",
            "country_code": "US",
            "telephone_number": "574-294-7641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALUZ",
        "first_name": "VON CARLO",
        "middle_name": "VIAJE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015335A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa Michelle Shafer, PT
• Katie Smith, LCSW
• Southwest Vision Center Inc.
• Haylie Rebecca Stevenson
• Aranella Dionisio Villaluz, PT, PTA, MOH
• Corrina Weihrauch, DC
• Cynthia Jean Werner
• Debra E White
• Maureen Ziboh, M.D.

• Physical Therapist in Edwardsburg, MI
• Providers in Edwardsburg, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.