Mary Ruth Velicki, PT, MSPT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12330 Issued in CA

Practice address

20321 SW Acacia St Ste 150
Newport Beach, CA 92660-1763

Phone

(949) 851-8121

Fax

(949) 851-9537

NPI assigned

Nov 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Health Arts Institute Inc.

  • Acupuncturist
  • Long Beach, CA
  • NPI 1902227309
  NPD (past)

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841663697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20321 SW ACACIA ST STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601763",
            "telephone_number": "949-851-8121",
            "fax_number": "949-851-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20321 SW ACACIA ST STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601763",
            "telephone_number": "949-851-8121",
            "fax_number": "949-851-9537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5855 E Naples Plz",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908035060",
            "country_code": "US",
            "telephone_number": "562-434-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELICKI",
        "first_name": "MARY",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "PT, MSPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "12330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "12330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Vega
• Tania Angelica Vega, AUD
• Ara Vehian, M.D.
• Izak Velasco
• Elizabeth Velez, PA
• Thomas E Velling, M.D.
• Brett Veltman, PSYD
• Naina Venkatesh
• Grace Ventura
• Ralph James Venuto, M.D.

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.