Active NPI
Ramon Mendoza Velasco, P.T.
- Physical Therapist
- Munster, IN
National Provider Identifier
1740598028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009847A
- Practice address
- 9800 Valparaiso Dr
Munster, IN 46321-4040 - Phone
- (219) 934-9800
- NPI assigned
- Sep 20, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05009847A | IN | Primary |
Addresses
Primary practice location
9800 Valparaiso Dr
Munster, IN 46321-4040
Mailing address
314 Gregory Ave
Munster, IN 46321-1014
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 |
|---|---|---|---|
| 05009847A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1740598028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 GREGORY AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 VALPARAISO DR",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214040",
"telephone_number": "219-934-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO",
"first_name": "RAMON",
"middle_name": "MENDOZA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009847A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.