Individual provider Active NPI

Mikela Velasquez, PT, DPT

  • Physical Therapist
  • Tarzana, CA
National Provider Identifier
1598402224
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302052 Issued in CA
Practice address
18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345
Phone
(818) 812-5300
NPI assigned
May 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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 302052 CA Primary

Addresses

Primary practice location

18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345

Mailing address

11163 Laughlin LN
North Hollywood, CA 91606-3666
Phone (323) 317-3729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909001886 CA Practitioner - Physical Therapist in Private Practice 3476938598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
More Physical Therapy IncGroup PAC ID 5294783122, 51 clinicians

Practice addresses (Care Compare)

2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 248-6886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302052CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Dec 14, 2023 Accepting new patients
More Physical Therapy, Inc. Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients

Locations

1633 Old Bayshore Hwy
Ste 145
Burlingame, CA 94010
Phone (650) 239-9075

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886

Organizations & group practices 2

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": "1652486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1598402224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11163 LAUGHLIN LN",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063666",
            "telephone_number": "323-317-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18757 BURBANK BLVD STE 118",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566345",
            "telephone_number": "818-812-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "MIKELA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-14",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.

Verify at the official NPI Registry.