Active NPI
Jordan Velazquez, LMT
- Massage Therapist
- Buffalo, NY
National Provider Identifier
1528800364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 033254-01
- Practice address
- 148 Elmwood Ave
Buffalo, NY 14201-1450 - Phone
- (716) 292-5812
- NPI assigned
- Jun 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 033254-01 | NY | Primary |
Addresses
Primary practice location
148 Elmwood Ave
Buffalo, NY 14201-1450
Mailing address
1072 E Lovejoy St
Buffalo, NY 14206-1125
Phone (716) 292-5812
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033254-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1528800364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 E LOVEJOY ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142061125",
"telephone_number": "716-292-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011450",
"telephone_number": "716-292-5812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "JORDAN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "033254-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.