Active NPI
Emilia Velazquez, MSPT
- Physical Therapist
- Morganville, NJ
National Provider Identifier
1245328715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00678300
- Practice address
- 21 Kilmer Dr
BLDG. 2 Suite D
Morganville, NJ 07751-1571 - Phone
- (732) 851-7607
- Fax
- (732) 851-7610
- NPI assigned
- Oct 10, 2006
- Last updated
- Dec 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 40QA00678300 | NJ | Primary |
Addresses
Primary practice location
21 Kilmer Dr
BLDG. 2 Suite D
Morganville, NJ 07751-1571
Mailing address
302 Autumn Hill Dr
Morganville, NJ 07751-2043
Phone (732) 589-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070418000589 | NJ | Practitioner - Physical Therapist in Private Practice | 2769587880 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00678300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrective Care Group PC | Physical Therapist | Past | Accepting new patients |
| No Tears Dental Center, P.C. | Past | Accepting new patients | |
| Northeast Spine & Wellness Center LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Morganville, NJ
- NPI 1023317401
-
- General Practice Dentistry
- East Brunswick, NJ
- NPI 1407189848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1245328715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 AUTUMN HILL DR",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077512043",
"telephone_number": "732-589-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 KILMER DR",
"address_2": "BLDG. 2 SUITE D",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511571",
"telephone_number": "732-851-7607",
"fax_number": "732-851-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "EMILIA",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00678300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.