Luis Alexander Velazquez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36317 Issued in FL

Practice address

1495 S Volusia Ave Ste 101
Orange City, FL 32763-7047

Phone

(386) 401-6100

Fax

(386) 960-0551

NPI assigned

Oct 21, 2020

Last updated

Oct 23, 2020By 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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Ear Nose and Throat Surgical Associates PAGroup PAC ID 2466437926, 49 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.42 of 100Reported as group

Quality

86.06

Promoting interoperability

100

Improvement activities

40

Cost

65.33

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

86.58

Improvement activities

40

Cost

68.79

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Ear Nose and Throat Surgical Associates PA

  • Otolaryngology Physician
  • Winter Park, FL
  • NPI 1114905148
  Medicare reassignment Care Compare group NPD
• Direct Physical Therapy LLC

  • Physical Therapist
  • Orange City, FL
  • NPI 1922506120
  NPD
• Premier Rehab Inc

  dba Fyzical Therapy and Balance Center

  • Rehabilitation Clinic/Center
  • Deland, FL
  • NPI 1467490136
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1679172589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 S VOLUSIA AVE STE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637047",
            "telephone_number": "386-401-6100",
            "fax_number": "386-960-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 S VOLUSIA AVE STE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637047",
            "telephone_number": "386-401-6100",
            "fax_number": "386-960-0551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 N Mangoustine Ave",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327711098",
            "country_code": "US",
            "telephone_number": "407-878-6565",
            "fax_number": "407-732-4698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "LUIS",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Anna Vaughn, CPHT
• Camielle Vazquez
• Elizabeth Vazquez
• Nancy Vazquez, FNP-C
• Nousheen Rafiq Veerani, PA
• Evelyn Velez
• Roy Pascual Venzon, M.D.
• Radhika Madaan Verma, MD
• Rinki G Verma, MD
• Veronica Petkus, LLC

• Physical Therapist in Orange City, FL
• Providers in Orange City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.