Basic Information
| Provider Information | |||||||||
| NPI: | 1801223755 | ||||||||
| 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: | 3201 TEASLEY LN | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | DENTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762108302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9403873700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2013 | ||||||||
| LastUpdateDate: | 09/24/2020 | ||||||||
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| AuthorizedOfficialLastName: | SOELL | ||||||||
| AuthorizedOfficialFirstName: | DOUG | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9403676057 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT, MPT | ||||||||
| NPICertificationDate: | 09/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 1176807 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.