Jiselle Amy Velazquez, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

0119005607

Practice address

6715 Little River Tpke Ste 200
Annandale, VA 22003-3546

Phone

(703) 879-2479

NPI assigned

Aug 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Fleming Speech Therapy Services, Inc.

  • Occupational Medicine Clinic/Center
  • Alexandria, VA
  • NPI 1154619336
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1821344433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 S ARLINGTON MILL DR # 534",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063402",
            "telephone_number": "703-879-2479",
            "fax_number": "703-879-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 LITTLE RIVER TPKE STE 200",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033546",
            "telephone_number": "703-879-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "JISELLE",
        "middle_name": "AMY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "VA",
            "license": "0119005607",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": "0119005607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT",
            "identifier": "225XP0200X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hendrika Vande Kemp, PHD
• Ellen Clarke Vaughey, MD
• Vein Institute
• Scott Mark Vejcik, M.D., PH.D.
• Ruth Velasquez, FNP-BC
• Sara Veley, M.S. OTR/L
• Srikrishna Vemana, M.D.
• Benjamin Robert Vena, CNMT, RT(N)
• Raymond Vergne, M.D.
• Viana Healthcare Services Inc

• Pediatric Occupational Therapist in Annandale, VA
• Providers in Annandale, VA by specialty
• Pediatric Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.