Active NPI
Kelvin Valencia, DPT
- Physical Therapist
- Hartford, CT
National Provider Identifier
1861754087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1212723
- Practice address
- 453 Summit St
Hartford, CT 06106-2354 - Phone
- (860) 593-8563
- NPI assigned
- Jun 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009226 | CT | |
| Physical Therapist | 225100000X | 1212723 | TX | Primary |
Addresses
Primary practice location
453 Summit St
Hartford, CT 06106-2354
Mailing address
453 Summit St
Hartford, CT 06106-2354
Phone (860) 593-8563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009226 | CT | MD | Physical Therapist |
| 1212723 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1861754087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 SUMMIT ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062354",
"telephone_number": "860-593-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 SUMMIT ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062354",
"telephone_number": "860-593-8563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "KELVIN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "009226",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1212723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.