Active NPI
Alma Velasco, PT
- Physical Therapist
- Kingsport, TN
National Provider Identifier
1619623832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1665
- Practice address
- 2209 Sunningdale Rd
Kingsport, TN 37660-2940 - Phone
- (423) 292-3824
- NPI assigned
- Feb 25, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1665 | TN | Primary |
Addresses
Primary practice location
2209 Sunningdale Rd
Kingsport, TN 37660-2940
Mailing address
2209 Sunningdale Rd
Kingsport, TN 37660-2940
Phone (423) 247-3394
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 |
|---|---|---|---|
| PT1665 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1619623832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 SUNNINGDALE RD",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376602940",
"telephone_number": "423-247-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 SUNNINGDALE RD",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376602940",
"telephone_number": "423-292-3824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO",
"first_name": "ALMA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-25",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT1665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.