REGINALD VAN VELZEN (PT) – Physical Therapist, NPI 1225308745

REGINALD VAN VELZEN (PT) is a healthcare provider. based in Lubbock, Texas. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 1214108 (TX). The NPI Number for REGINALD VAN VELZEN (PT) is 1225308745

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
REGINALD VAN VELZEN (PT)
NPI
1225308745
Phone
(806) 687-4311
Address
5217 82ND ST UNIT 104
Enumeration Date
2 January 2012
Last Update Date
15 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2546993933
Graduation Year
2011 (15 years ago)
PAC ID
9638331762
Group Practice PAC ID
1153453691
Professional Enrollment ID
I20120507000172
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for REGINALD VAN VELZEN (PT)

  • 5217 82ND ST UNIT 104

    LUBBOCK, TX 794242800

    Phone: (806) 687-4311

    Type: Location

  • 194 MERRITT ST. WEST

    WELLAND, ONTARIO L3C 4T9

    Phone: (905) 641-7675

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120507000172IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79424)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153453691View full group profile

Reviews

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Frequently asked questions

Does REGINALD VAN VELZEN (PT) have a public NPI I can cite?
Public records show REGINALD VAN VELZEN (PT) under NPI 1225308745.
Does the public listing show REGINALD VAN VELZEN (PT) as active?
REGINALD VAN VELZEN (PT)'s NPI record reflects an active status in NPPES.
How should patients interpret REGINALD VAN VELZEN (PT)'s specialty?
The extract shows Physical Therapist for REGINALD VAN VELZEN (PT). Clinical services aligned with this taxonomy classification.
Which community is linked to REGINALD VAN VELZEN (PT)?
REGINALD VAN VELZEN (PT) shows a connection to Lubbock, Texas in registry-derived data.
Why is information missing for REGINALD VAN VELZEN (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.