Provider Demographics
NPI:1962144857
Name:VELURU, SATYANARAYANASRAVANI (PT,DPT)
Entity type:Individual
Prefix:DR
First Name:SATYANARAYANASRAVANI
Middle Name:
Last Name:VELURU
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4335 N O CONNOR RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-7665
Mailing Address - Country:US
Mailing Address - Phone:469-490-6575
Mailing Address - Fax:
Practice Address - Street 1:METROPLEX PHYSICAL THERAPY
Practice Address - Street 2:415 W WHEATLAND RD #102
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116
Practice Address - Country:US
Practice Address - Phone:972-296-1808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13572062251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic