Hazel Villamor, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT10622 Issued in FL

Practice address

1700 Wells Rd Ste 22
Orange Park, FL 32073-2374

Phone

(904) 209-4714

Fax

(904) 209-6757

NPI assigned

Apr 19, 2022

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

90.24 of 100Reported as group

Quality

80.47

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1932842739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 TOUCHTON RD UNIT 2227",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461521",
            "telephone_number": "904-497-6083",
            "fax_number": "904-209-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WELLS RD STE 22",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732374",
            "telephone_number": "904-209-4714",
            "fax_number": "904-209-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMOR",
        "first_name": "HAZEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT10622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica H Vickers, MD
• Paige Renee Vickers, PHARMD
• Kirsten Victorian
• Victory BH
• Carlos R Villa, O.D.
• Amelia Villanueva
• Julian Vincent
• Marlena M Vinson
• Bridgette Viotto, FNP-C
• Vip Pain Services LLC

• Physical Medicine & Rehabilitation Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.