Keishla Marie Flores Velez, PTA, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017497 Issued in GA

Practice address

5748 Old Winder Hwy Ste 400-500
Braselton, GA 30517-1630

Phone

(678) 866-4312

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR, TX, GA3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCM Rehabilitation LLC 58 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.56 of 100Reported as group

Quality

89.48

Improvement activities

40

Cost

71.16

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MCM Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1538226840

  GA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ideal Physical Therapy of Texas LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746
  Medicare reassignment NPD
• Pain Rehabilitation Management

  • Physical Therapy Clinic/Center
  • Yabucoa, PR
  • NPI 1447283353

  PR

  Medicare reassignment NPD
• MCM Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
  • NPI 1538632005
  Care Compare group
• MCM Rehabilitation, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
  • NPI 1780199422
  Care Compare group
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD
• MCM Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Hixson, TN
  • NPI 1922681360
  NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1184237240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5748 OLD WINDER HWY STE 400-500",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305171630",
            "telephone_number": "678-866-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Calle Cristobal Colon",
            "address_purpose": "LOCATION",
            "city": "Yabucoa",
            "state": "PR",
            "postal_code": "007673326",
            "country_code": "US",
            "telephone_number": "787-719-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES VELEZ",
        "first_name": "KEISHLA",
        "middle_name": "MARIE",
        "credential": "PTA, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4576",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erum Farooqi, M.D.
• Carla Louise Fedigan, RN, MSN, WHNP-BC
• Lucy Anne Fischer
• Shameka Flanagan
• Laura Flick
• Lindsay Brooke Francis, PHARM.D.
• Gina Woodward Furter, DPT, ATC
• Melina Rada Gable, DMD
• Micah Gaffney
• Gainesville Eye Associates LLC

• All providers in Braselton, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.