Active NPI
Velocity Sports Rehab PLLC
- Chiropractor
- Seattle, WA
National Provider Identifier
1740695709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60269620
- Legal business name
- VELOCITY SPORTS REHAB PLLC
- Practice address
- 1656 E Olive Way
Seattle, WA 98102-5627 - Phone
- (425) 387-5083
- NPI assigned
- Jun 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Braccio, DC
- Title
- Chiropractic Physician
- Phone
- (425) 387-5083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60269620 | WA | Primary |
Addresses
Primary practice location
1656 E Olive Way
Seattle, WA 98102-5627
Mailing address
19315 113TH Ave SE
Kent, WA 98031-0207
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421280000000",
"number": "1740695709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19315 113TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980310207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 E OLIVE WAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981025627",
"telephone_number": "425-387-5083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VELOCITY SPORTS REHAB PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-27",
"last_updated": "2015-01-15",
"status": "A",
"authorized_official_last_name": "BRACCIO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "425-387-5083",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60269620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.