Individual provider Active NPI

Yorwin Jospeh Velasquez, DPT, PT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1043083736
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216977 Issued in VA
Practice address
10517 Braddock Rd Ste D
Fairfax, VA 22032-2275
Phone
(571) 351-5618
Fax
(571) 351-5619
NPI assigned
Nov 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41020 FL
Physical Therapist 225100000X 2305216977 VA Primary

Addresses

Primary practice location

10517 Braddock Rd Ste D
Fairfax, VA 22032-2275

Mailing address

3172 49TH LN S
Lake Worth, FL 33461-5514
Phone (561) 856-5802

Other practice location 1

3111 W Boynton Beach Blvd Ste 100
Boynton Beach, FL 33436-4613
Phone (561) 742-3283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231220001590 FL Practitioner - Physical Therapist in Private Practice 9638527328 Reassigns benefits to 2 organizations
I20250331003277 DC Practitioner - Physical Therapist in Private Practice 9638527328 Reassigns benefits to 1 organization
I20250401002849 VA Practitioner - Physical Therapist in Private Practice 9638527328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians

Practice addresses (Care Compare)

46262 Cranston St
Suite 115B
Sterling, VA 20165-7241
Phone (571) 306-4113

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Aquatics & Physical Therapy Inc Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Mobile Therapy Group LLC CurrentSince Jan 20, 2024 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Apr 28, 2025 Accepting new patients
Mote Wellness & Rehab Inc PastSince Jun 1, 2009 Accepting new patients

Locations

3111 W Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33436
Phone (561) 742-3283

3111 W Boynton Beach Blvd
Ste 20000
Boynton Beach, FL 33436
Phone (561) 865-2800

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

10517 Braddock Rd
Ste D
Fairfax, VA 22032
Phone (571) 351-5618

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

46262 Cranston St
Ste 115B
Sterling, VA 20165
Phone (571) 306-4113

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1043083736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 49TH LN S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615514",
            "telephone_number": "561-856-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10517 BRADDOCK RD STE D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322275",
            "telephone_number": "571-351-5618",
            "fax_number": "571-351-5619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 W Boynton Beach Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334364613",
            "country_code": "US",
            "telephone_number": "561-742-3283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "YORWIN",
        "middle_name": "JOSPEH",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41020",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.