Active NPI
Michael Velasquez, PT, DPT
- Physical Therapist
- Farmington, CT
National Provider Identifier
1093472904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14.012458
- Practice address
- 399 Farmington Ave
Farmington, CT 06032-1936 - Phone
- (860) 837-6300
- NPI assigned
- Nov 27, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14.012458 | CT | Primary |
Addresses
Primary practice location
399 Farmington Ave
Farmington, CT 06032-1936
Mailing address
88 Elmwood Dr
Cheshire, CT 06410-4256
Phone (860) 798-7963
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14.012458 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766188800000",
"number": "1093472904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 ELMWOOD DR",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064104256",
"telephone_number": "860-798-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321936",
"telephone_number": "860-837-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-27",
"last_updated": "2025-12-20",
"certification_date": "2025-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14.012458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.