Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Licelot Valerio, PT

Individual provider Physical Therapist · NPI 1588384549

Licelot Valerio, PT is a Physical Therapist in Private Practice in Northfield, New Jersey. Qualified in 2013, 13 years ago. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

802 W Mill Rd
Northfield, NJ 08225-1124
Phone: (609) 241-5146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01563000 (NJ)

Record details

NPI number1588384549
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 30, 2022
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address802 W Mill Rd, Northfield, NJ 08225-1124

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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