NPIMap

Organization Active NPI

Velocity Chiropractic and Wellness Center, L.L.C.

Doing business as Velocity Physical Therapy

  • Chiropractor
  • Red Bank, NJ
National Provider Identifier
1336346022
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00596000 Issued in NJ
Legal business name
VELOCITY CHIROPRACTIC AND WELLNESS CENTER, L.L.C.
Doing business as
Velocity Physical Therapy
Practice address
231 Maple Ave
Red Bank, NJ 07701-1727
Phone
(732) 530-1164
NPI assigned
Jun 27, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Jessica Lynn Horowitz, D.C.NPI 1508985797
Title
Owner
Phone
(732) 530-1164

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00596000 NJ Primary
Specialist 174400000X 46TR00351500 NJ

Addresses

Primary practice location

231 Maple Ave
Red Bank, NJ 07701-1727

Mailing address

231 Maple Ave
Red Bank, NJ 07701-1727
Phone (732) 530-1164

Other names 1

  • Velocity Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041028000419 NJ Part B Supplier - Clinic/Group Practice 7416919808 Receives reassigned benefits from 13 practitioners
Practice locations: Red Bank, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1336346022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011727",
            "telephone_number": "732-530-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011727",
            "telephone_number": "732-530-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELOCITY CHIROPRACTIC AND WELLNESS CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-530-1164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00596000",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "46TR00351500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Velocity Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.