Khail Edsel Ronquillo Velicaria
Khail Edsel Ronquillo Velicaria is a Physical Therapist in Private Practice in Ellenwood, Georgia. Qualified in 2019, 7 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 7
- Licensed in
- CT
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2838 E Atlanta Rd Ste 2Ellenwood, GA 30294-2780
Phone: (678) 782-3609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 012282 (CT) |
Record details
| NPI number | 1780460279 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 31, 2023 |
| Last updated in NPPES | September 27, 2023 |
| Certification date | September 27, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Independent Physical Therapy Of Georgia Llc — 529 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ellenwood
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Samantha Bernardo Paredes
2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294-2780 · (678) 782-3609
-
Amber Quinn, PT, DPT
145 Huntcliff Trl, Ellenwood, GA 30294-2597 · (310) 210-2291
-
Ahmari Shemari Rawls, DPT
2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294-2780 · (678) 782-3609
-
Cierra Deonika Thornton, PT, DPT
2838 E Atlanta Rd Ste 2, Ellenwood, GA 30294-2780 · (678) 782-3609