Juan Emmanuel Velazquez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4629 Issued in NV

Practice address

2250 E Postal Dr #4
Pahrump, NV 89048

Phone

(775) 727-3838

Fax

(702) 564-4838

NPI assigned

Sep 1, 2021

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 NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Manuel Therapy Institute 1 LLCGroup PAC ID 7810922622, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Advanced Manuel Therapy Institute 1 LLC

  • Physical Therapist
  • Henderson, NV
  • NPI 1740496272
  Medicare reassignment Care Compare group NPD
• Advanced Manual Therapy Institute I LLC

  • Physical Therapist
  • North Las Vegas, NV
  • NPI 1023558426
  NPD
• Therapy West LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1972168540
  NPD (past)

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1831867118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 CABIS BAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891781209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 E POSTAL DR #4",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "775-727-3838",
            "fax_number": "702-564-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "JUAN",
        "middle_name": "EMMANUEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Vanname
• Kristi Varnell
• Robert Ray Vaughn Sr.
• Mariah Viviana Vega
• Vegas Stronger
• Sonia Verdugo
• Sara Vergith
• Donna Jean Vickroy
• Maria Eloisa Vidal Garica
• Janette Vidargas

• Physical Therapist in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.