Khail Edsel Ronquillo Velicaria
NPI 1780460279ActiveIndividual· Physical Therapist· Ellenwood, GA
Physical Therapist with Independent Physical Therapy of Georgia, LLC, practicing in Ellenwood, Georgia. Medicare paid $19,160 for services to 48 patients in 2024.
Overview
| NPI | 1780460279 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 31, 2023 |
| Last updated in NPPES | Sep 27, 2023 |
| Certified by provider | Sep 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapist | 225100000X | 012282 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 916 across 10 procedure codes |
| Paid by Medicare | $19,160 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Independent Physical Therapy of Georgia, LLCMonroe, GA · 531 clinicians
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All 18 physical therapists in Ellenwood · All physical therapists in Georgia