Jude Reggie Santos Velez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008600 Issued in GA

Practice address

1398 Victoria St
Suite 160
Douglasville, GA 30134-2661

Phone

(770) 485-2109

Fax

(770) 485-2109

NPI assigned

May 2, 2006

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)

Enrolled

State licenses

Practice roles

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.

• Customized Physical Therapy Services Inc

  • Physical Therapist
  • Douglasville, GA
  • NPI 1437481637
  NPD (past) Authorized official

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1720046527",
    "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",
            "address_2": "SUITE 160",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342661",
            "telephone_number": "770-485-2109",
            "fax_number": "770-485-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "JUDE REGGIE",
        "middle_name": "SANTOS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "008600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakira Lataivia Vance
• Yomarli Vargas, FNP-C
• Thomas C Varughese, M.D
• David Vautin, DMD
• Jeanika Velez, RBT
• Tammy L Velliquette, M.ED. CCC SLP L
• Vemandal Nursing Services Inc.
• Dennis Quentin Venner, LMT
• Tamika Lytrail Ventez, RBT
• Stephen Redmond Ventre, LPC

• 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 Feb 12, 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.