Guillermo I Vallejos, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT31117 Issued in FL

Practice address

220 N Sykes Creek Pkwy Ste 201
Merritt Island, FL 32953-3490

Phone

(321) 521-1161

Fax

(321) 521-1161

NPI assigned

Nov 16, 2011

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)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Cora Health Services Inc

  • Rehabilitation Clinic/Center
  • Titusville, FL
  • NPI 1952334153
  NPD (past)
• Cora Health Services, Inc

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)
• Orthopedic Rehabilitation Centers LLC

  • Physical Therapist
  • Little Rock, AR
  • NPI 1780692491
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1962779108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 2ND AVE STE 210",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301611718",
            "telephone_number": "321-521-1161",
            "fax_number": "321-521-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N SYKES CREEK PKWY STE 201",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533490",
            "telephone_number": "321-521-1161",
            "fax_number": "321-521-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Cheney Hwy",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327806959",
            "country_code": "US",
            "telephone_number": "321-269-8155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2278 Albert Pike Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719134157",
            "country_code": "US",
            "telephone_number": "501-767-0808",
            "fax_number": "501-767-0832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLEJOS",
        "first_name": "GUILLERMO",
        "middle_name": "I",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2534",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usv Optical Inc.
• Usv Optical, Inc.
• Monica L Utt, MA CCC-A
• Kaitlyn Marie Valade, RBT
• Stephanie Valdez
• Chaunhi Van, M.D
• Zoe Marie Vancaugherty
• Margaret Vaughan, LCSW
• Susan D Vaughn, RN
• Susan Ann Vazzana, LPN

• Physical Therapist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.