Darell Velasco

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160-007005 Issued in IL

Practice address

6540 N Lincoln Ave
Suite 100
Lincolnwood, IL 60712-3933

Phone

(847) 779-7900

Fax

(847) 779-7901

NPI assigned

Jan 4, 2016

Last updated

Feb 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1609232925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD",
            "address_2": "SUITE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 N LINCOLN AVE",
            "address_2": "SUITE 100",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123933",
            "telephone_number": "847-779-7900",
            "fax_number": "847-779-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "DARELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-04",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160-007005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Vaewhongs, M.D.
• Vanguard Behavioral Health
• Marley Vargas
• Nina J Vargas
• Sajoy Purathumuriyil Varghese, M.D
• Vanessa Vernamonte
• Keri Gillmore Vietti, PT, MS
• Village of Lincolnwood
• Stacey Villalobos
• Gabriella Frances Vinciguerra

• Physical Therapy Assistant in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.