Individual provider Active NPI

Denise Velazquez Prados, PT

  • Physical Therapist
  • Bayamon, PR
National Provider Identifier
1922056100
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1288 Issued in PR
Practice address
MP21 Plaza 32
Monte Claro
Bayamon, PR 00961-3574
Phone
(787) 307-7939
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1288 PR Primary

Addresses

Primary practice location

MP21 Plaza 32
Monte Claro
Bayamon, PR 00961-3574

Mailing address

MP21 Plaza 32
Monte Claro
Bayamon, PR 00961-3574
Phone (787) 307-7939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616002430 PR Practitioner - Physical Therapist in Private Practice 7214099852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JS Sport Medicine PSCGroup PAC ID 7315247830, 2 clinicians
Physics Rehab CenterGroup PAC ID 7012331440, 3 clinicians

Practice addresses (Care Compare)

Calle Cesar Gonzalez
576 Suite 502
San Juan, PR 00918-3758
Phone (787) 705-1662

Id14 Calle Almacigo
Bayamon, PR 00956-3104
Phone (787) 288-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1288PRMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Physics Rehab Center CurrentSince Feb 4, 2022 Accepting new patients
Physics Rehab Team, PSC Physical Therapist CurrentSince Feb 4, 2022 Accepting new patients

Locations

ID14 Calle Almacigo
Bayamon, PR 00956
Phone (787) 288-0808

GG36 Calle 19
Bayamon, PR 00959
Phone (787) 779-7676

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1922056100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MP21 PLAZA 32",
            "address_2": "MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613574",
            "telephone_number": "787-307-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MP21 PLAZA 32",
            "address_2": "MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613574",
            "telephone_number": "787-307-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ PRADOS",
        "first_name": "DENISE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.