Active NPI
Thomas Anthony Velickoff, DC
- Chiropractor
- Tacoma, WA
National Provider Identifier
1073653374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034710
- Practice address
- 601 S Pine St
Tacoma, WA 98405-2793 - Phone
- (360) 903-6825
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034710 | WA | Primary |
Addresses
Primary practice location
601 S Pine St
Tacoma, WA 98405-2793
Mailing address
6839 S K St
Tacoma, WA 98408-3121
Phone (360) 903-6825
Other names 1
- Dr. Tony Velickoff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034710 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tacoma Chiropractic Health Connection | Chiropractor | Past | Accepting new patients |
| Simmons Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Tacoma, WA
- NPI 1902109739
-
- Family Nurse Practitioner
- Tacoma, WA
- NPI 1568595098
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073653374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 S K ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984083121",
"telephone_number": "360-903-6825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S PINE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052793",
"telephone_number": "360-903-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELICKOFF",
"first_name": "THOMAS",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONY",
"last_name": "VELICKOFF",
"prefix": "DR.",
"credential": "DC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.