Active NPI
Kevin Deglado Velasco, PT
- Physical Therapist
- University Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37543
- Practice address
- 8039 Cooper Creek Blvd Ste 102
University Park, FL 34201-3007 - Phone
- (941) 405-3557
- Fax
- (941) 248-0228
- NPI assigned
- Aug 5, 2016
- Sex
- Male
- Sole proprietor
- No
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 | PT37543 | FL | Primary |
Addresses
Primary practice location
8039 Cooper Creek Blvd Ste 102
University Park, FL 34201-3007
Mailing address
8039 Cooper Creek Blvd Ste 102
University Park, FL 34201-3007
Phone (941) 405-3557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5214
Suite 64
Bradenton, FL 34208
Phone (941) 541-4571
8039 Cooper Creek Blvd
Suite 102
University Park, FL 34201-3007
Phone (941) 405-3557
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37543 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Place Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| One Place Performance and Osteopractic Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Coastal Orthopedics & Sports Medicine of Southwest FL, PA | Past | Accepting new patients |
Locations
5214 E State Road 64
Bradenton, FL 34208
Phone (727) 773-6609
8039 Cooper Creek Blvd
Ste 102
University Park, FL 34201
Phone (941) 405-3557
Organizations & group practices 3
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.
-
- Orthopedic Physical Therapist
- University Park, FL
- NPI 1366272486
-
- Physical Therapist
- Bradenton, FL
- NPI 1013886613
-
- Specialist
- Bradenton, FL
- NPI 1811134794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1356895544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8039 COOPER CREEK BLVD STE 102",
"city": "UNIVERSITY PARK",
"state": "FL",
"postal_code": "342013007",
"telephone_number": "941-405-3557",
"fax_number": "941-248-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8039 COOPER CREEK BLVD STE 102",
"city": "UNIVERSITY PARK",
"state": "FL",
"postal_code": "342013007",
"telephone_number": "941-405-3557",
"fax_number": "941-248-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO",
"first_name": "KEVIN",
"middle_name": "DEGLADO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-05",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.