Individual provider Active NPI

Eugenia Viado Velasco, PT

  • Physical Therapist
  • Aurora, IL
National Provider Identifier
1124725791
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015080 Issued in IL
Practice address
4205 Westbrook Dr
Aurora, IL 60504-4124
Phone
(630) 946-4566
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070015080 IL Primary

Addresses

Primary practice location

4205 Westbrook Dr
Aurora, IL 60504-4124

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evelasco258832@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230227002283 IL Practitioner - Physical Therapist in Private Practice 0244603009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070015080ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD Physical Therapist CurrentSince Sep 9, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 9, 2025 Accepting new patients

Locations

4205 Westbrook Dr
Aurora, IL 60504
Phone (630) 527-1818

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

149 N Weber Rd
Bolingbrook, IL 60490
Phone (630) 456-7245

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1325 N Meacham Rd
Schaumburg, IL 60173
Phone (630) 790-1700

Interoperability endpoints

  • Direct secure messaging: evelasco258832@dulyhealthandcare.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1124725791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 WESTBROOK DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044124",
            "telephone_number": "630-946-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "EUGENIA",
        "middle_name": "VIADO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evelasco258832@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "4205 Westbrook Dr",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605044124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.