Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Allyssa Velazquez, PT, DPT

Individual provider Physical Therapist · NPI 1902786106

Dominique Allyssa Velazquez, PT, DPT is a Physical Therapist in Lanham, Maryland. Works from 4 locations. Licensed in Illinois, Maryland and Wisconsin.

Licensed in
IL, MD, WI
In the registry since
2025
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6710 Mallery Dr
Lanham, MD 20706-3964
Phone: (301) 552-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 611 W Park St, Urbana, IL 61801-2529 — (217) 383-3311
  • 18881 W Dodge Rd Ste 300w, Elkhorn, NE 68022-4648 — (877) 230-3885
  • 333 Pine Ridge Blvd, Wausau, WI 54401-4187 — (715) 847-2121

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30969 (MD)
Physical Therapist Taxonomy 225100000X · Licence 070.029410 (IL)
Physical Therapist Taxonomy 225100000X · Licence 17561-24 (WI)

Record details

NPI number1902786106
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

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