Jelene M Velasco, LMT

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

MA#54379 Issued in FL

Practice address

6301 Memorial Hwy
Ste 304
Tampa, FL 33615-4573

Phone

(813) 374-9923

Fax

(813) 374-9922

NPI assigned

Apr 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Medical Therapy Practitioner, Inc

  • Health Service Clinic/Center
  • Tampa, FL
  • NPI 1578706388
  NPD (past)

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1467696294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 SOMERSET PARK DR",
            "address_2": "UNIT #203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133244",
            "telephone_number": "813-431-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MEMORIAL HWY",
            "address_2": "STE 304",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154573",
            "telephone_number": "813-374-9923",
            "fax_number": "813-374-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "JELENE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "MA#54379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana Velandia
• Vic Velanovich, M.D.
• Sylvia Velarde
• Albert Velasco Jr., O.D.
• Andrea Jean Velasco, CRNP
• Maria Ruth Velasco, M.D.
• Regina Velasco, D.O.
• Hernan Yadir Velasquez Mejia, BCBA
• Doris Marie Velasquez, CRNA
• Codi Rachel Velastegui, APRN

• Rehabilitation Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.