Organization Active NPI

Velocity Physical Therapy & Wellness Clinic, LLC

  • Physical Therapy Clinic/Center
  • Hudson, WI
National Provider Identifier
1285176644
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
11309-24 Issued in WI
Legal business name
VELOCITY PHYSICAL THERAPY & WELLNESS CLINIC, LLC
Practice address
916 Carmichael Rd
Hudson, WI 54016-8280
Phone
(715) 716-5191
Fax
(715) 716-5190
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Brittany Young-Sanchez, PT, DPTNPI 1184999575
Title
Owner
Phone
(715) 505-3030

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 Therapy Clinic/Center 261QP2000X 11309-24 WI Primary

Addresses

Primary practice location

916 Carmichael Rd
Hudson, WI 54016-8280

Mailing address

916 Carmichael Rd
Hudson, WI 54016-8280
Phone (715) 716-5191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161215000029 WI Part B Supplier - Clinic/Group Practice 8224318969 Receives reassigned benefits from 4 practitioners
Practice locations: Hudson, WI

National Provider Directory

National Provider Directory

Locations

816 Carmichael Rd
Hudson, WI 54016
Phone (715) 716-5191

1500 Madison Ave
Ste 2
New Richmond, WI 54017
Phone (715) 505-3030

144 W 3rd St
Ste F
New Richmond, WI 54017
Phone (715) 716-5191

1500 Madison Ave
Ste 3
New Richmond, WI 54017

Practitioners & affiliated clinicians

Practitioners 5

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": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1285176644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 CARMICHAEL RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168280",
            "telephone_number": "715-716-5191",
            "fax_number": "715-716-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 CARMICHAEL RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168280",
            "telephone_number": "715-716-5191",
            "fax_number": "715-716-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELOCITY PHYSICAL THERAPY & WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG-SANCHEZ",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-505-3030",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "11309-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.