Individual provider Active NPI

Rodney Michel Velazquez

  • Physical Therapist
  • Cutler Bay, FL
National Provider Identifier
1598095952
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22091 Issued in FL
Practice address
22447 SW 94TH Path
Cutler Bay, FL 33190-1809
Phone
(305) 234-8645
Fax
(786) 246-4547
NPI assigned
Jan 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT22091 FL Primary

Addresses

Primary practice location

22447 SW 94TH Path
Cutler Bay, FL 33190-1809

Mailing address

22447 SW 94TH Path
Cutler Bay, FL 33190-1809
Phone (305) 234-8645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170202002733 FL Practitioner - Physical Therapist in Private Practice 3173709367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22091FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plan B Therapy Inc. Physical Therapist CurrentSince Sep 9, 2016 Accepting new patients
Marathon Therapy Inc Physical Therapist Past Accepting new patients
Breezy Home Health Inc PastSince Nov 1, 2022 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Breezy Home Health, IncMiami Lakes, FL, CCN 687420 Home health agency 5% Or Greater Direct Ownership Interest
Corporate Officer
Corporate Director (100%)
W-2 Managing Employee (90%)
Nov 1, 2022
Nov 1, 2022
Nov 1, 2022
Nov 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1598095952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22447 SW 94TH PATH",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901809",
            "telephone_number": "305-234-8645",
            "fax_number": "786-246-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22447 SW 94TH PATH",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901809",
            "telephone_number": "305-234-8645",
            "fax_number": "786-246-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "RODNEY",
        "middle_name": "MICHEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.