Individual provider Active NPI

Jennifer Irene Veloz, PHYSICAL THERAPY ASS

  • Physical Therapy Assistant
  • Boca Raton, FL
National Provider Identifier
1629245196
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
8423 Issued in CA
Practice address
5901 Broken Sound Pkwy
Boca Raton, FL 33487-2773
Phone
(800) 875-8999
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8423 CA Primary

Addresses

Primary practice location

5901 Broken Sound Pkwy
Boca Raton, FL 33487-2773

Mailing address

24847 Sunday Dr
Moreno Valley, CA 92557-5104
Phone (951) 966-4428

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

LicenseStateTypeSpecialty
8423CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1629245196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24847 SUNDAY DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925575104",
            "telephone_number": "951-966-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BROKEN SOUND PKWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872773",
            "telephone_number": "800-875-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELOZ",
        "first_name": "JENNIFER",
        "middle_name": "IRENE",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPY ASS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "8423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.