Organization Active NPI

Velocity Sports Medicine LLC

  • Sports Physician Chiropractor
  • Westport, CT
National Provider Identifier
1497253991
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1918 Issued in CT
Legal business name
VELOCITY SPORTS MEDICINE LLC
Doing business as
Velocity Sports Medicine
Practice address
221 Post Rd W
Westport, CT 06880-4653
Phone
(203) 557-6569
Fax
(203) 557-6566
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Matthew R Meyers, DC ICCSP, MSNPI 1144584152
Title
Principle
Phone
(203) 913-0169

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1918 CT Primary

Addresses

Primary practice location

221 Post Rd W
Westport, CT 06880-4653

Mailing address

221 Post Rd W
Westport, CT 06880-4653
Phone (203) 557-6569

Other names 1

  • Velocity Sports Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180315000482 CT Part B Supplier - Clinic/Group Practice 6901168749 Receives reassigned benefits from 2 practitioners
Practice locations: Westport, CT

National Provider Directory

National Provider Directory

Locations

221 Post Rd W
Westport, CT 06880
Phone (203) 557-6965

Practitioners & affiliated clinicians

Practitioners 2

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": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1497253991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804653",
            "telephone_number": "203-557-6569",
            "fax_number": "203-557-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804653",
            "telephone_number": "203-557-6569",
            "fax_number": "203-557-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELOCITY SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "203-913-0169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC ICCSP, MS"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CT",
            "license": "1918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Velocity Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.