Active NPI
Daniel Velasco, P.T.
- Mechanotherapist
- Port Richey, FL
National Provider Identifier
1609168830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- PT8842
- Practice address
- 11528 US Highway 19
Port Richey, FL 34668-1442 - Phone
- (727) 861-3351
- NPI assigned
- May 5, 2011
- Last updated
- May 5, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | PT8842 | FL | Primary |
Addresses
Primary practice location
11528 US Highway 19
Port Richey, FL 34668-1442
Mailing address
11007 Bremerton CT
New Port Richey, FL 34654-4698
Phone (727) 686-0787
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT8842 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1609168830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11007 BREMERTON CT",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346544698",
"telephone_number": "727-686-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11528 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346681442",
"telephone_number": "727-861-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "PT8842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.