Organization Active NPI

Velez Institute of Physiatry PLLC

  • Physical Medicine & Rehabilitation Physician
  • Tavares, FL
National Provider Identifier
1124894175
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
VELEZ INSTITUTE OF PHYSIATRY PLLC
Practice address
2734 Dora Ave
Tavares, FL 32778-4970
Phone
(352) 708-9529
NPI assigned
Nov 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Dr. Kareen A Velez, MDNPI 1558565390
Title
Owner
Phone
(352) 250-3288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2734 Dora Ave
Tavares, FL 32778-4970

Mailing address

2734 Dora Ave
Tavares, FL 32778-4970
Phone (325) 705-0111

Other practice location 1

1730 Mayo Dr
Tavares, FL 32778-4308
Phone (352) 525-3001

Other names 1

  • Velez Institue of Physiatry, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717001977 FL Part B Supplier - Clinic/Group Practice 7416492137 Receives reassigned benefits from 1 practitioner
Practice locations: Tavares, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1124894175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784970",
            "telephone_number": "325-705-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784970",
            "telephone_number": "352-708-9529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Mayo Dr",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784308",
            "country_code": "US",
            "telephone_number": "352-525-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VELEZ INSTITUTE OF PHYSIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "KAREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-250-3288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Velez Institue of Physiatry, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.