Healthcare Provider Details

I. General information

NPI: 1760396394
Provider Name (Legal Business Name): SARAH VELEZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 ROUTE 35 SOUTH UNIT 13
MIDDLETOWN NJ
07748
US

IV. Provider business mailing address

767 S MIDDLESEX AVE
COLONIA NJ
07067-3723
US

V. Phone/Fax

Practice location:
  • Phone: 732-737-9590
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02426800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: