NPIMap

Organization Active NPI

Velo Sports Rehab Corp

  • Sports Physician Chiropractor
  • Bellevue, WA
National Provider Identifier
1770900847
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH00034592 Issued in WA
Legal business name
VELO SPORTS REHAB CORP
Practice address
1940 116TH Ave NE
Suite 100
Bellevue, WA 98004-3097
Phone
(425) 590-9208
NPI assigned
Mar 26, 2014
Last updated
Nov 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Dr. Eric Deroche, DCNPI 1588613145
Title
President
Phone
(425) 590-9208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CH00034592 WA Primary

Addresses

Primary practice location

1940 116TH Ave NE
Suite 100
Bellevue, WA 98004-3097

Mailing address

1940 116TH Ave NE
Suite 100
Bellevue, WA 98004-3097
Phone (425) 590-9208

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1770900847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 116TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043097",
            "telephone_number": "425-590-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 116TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043097",
            "telephone_number": "425-590-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELO SPORTS REHAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "DEROCHE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-590-9208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH00034592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.