Basic Information
| Provider Information | |||||||||
| NPI: | 1558978627 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VELOCITY PHYSICAL THERAPY, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3301 SUNDOWN BLVD | ||||||||
| Address2: | |||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762108032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403873700 | ||||||||
| FaxNumber: | 9404884513 | ||||||||
| Practice Location | |||||||||
| Address1: | 212 BOLIVAR ST | ||||||||
| Address2: | |||||||||
| City: | SANGER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762669775 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403873700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2020 | ||||||||
| LastUpdateDate: | 09/23/2020 | ||||||||
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| AuthorizedOfficialLastName: | SOELL | ||||||||
| AuthorizedOfficialFirstName: | DOUG | ||||||||
| AuthorizedOfficialMiddleName: | PAUL | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9403873700 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | VELOCITY PHYSICAL THERAPY, LLC | ||||||||
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| NPICertificationDate: | 09/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.