Healthcare Provider Details

I. General information

NPI: 1306739537
Provider Name (Legal Business Name): AMORA VALENCIA PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 21ST ST NW
WASHINGTON DC
20036-3390
US

IV. Provider business mailing address

111 S PERRY ST
DENVER CO
80219-1837
US

V. Phone/Fax

Practice location:
  • Phone: 202-416-2000
  • Fax:
Mailing address:
  • Phone: 951-238-5880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPT210002569
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: