Individual provider Active NPI

Judy Farace, PT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1336387976
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4215 Issued in FL
Practice address
140 Eveningstar Cay
Naples, FL 34114
Phone
(305) 297-6023
NPI assigned
Feb 3, 2009
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4215 FL Primary
Neurology Physical Therapist 2251N0400X PT 4215 FL

Addresses

Primary practice location

140 Eveningstar Cay
Naples, FL 34114

Mailing address

140 Eveningstar Cay
Naples, FL 34114-9611
Phone (305) 297-6023

Other practice location 1

9055 SW 87th Ave
Suite 312
Miami, FL 33176-2306
Phone (305) 412-9099

Other practice location 2

140 Eveningstar Cay
Naples, FL 34114
Phone (305) 297-6023

Other names 1

  • Ms. Judy Velasquez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4215FLMDPhysical Therapist
PT 4215FLMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayonne Physical Therapy Inc Physical Therapist Past Accepting new patients
South Florida Rehabilitation Consultants Inc Physical Therapist PastSince Feb 10, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1336387976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 EVENINGSTAR CAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341149611",
            "telephone_number": "305-297-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 EVENINGSTAR CAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34114",
            "telephone_number": "305-297-6023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9055 SW 87th Ave",
            "address_2": "Suite 312",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762306",
            "country_code": "US",
            "telephone_number": "305-412-9099",
            "fax_number": "305-412-9098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Eveningstar Cay",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "34114",
            "country_code": "US",
            "telephone_number": "305-297-6023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARACE",
        "first_name": "JUDY",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4215",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT 4215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "VELASQUEZ",
            "prefix": "MS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.