| Kevin Deglado Velasco, PT | |
|
8039 Cooper Creek Blvd Ste 102, University Park, FL 34201-3007 | |
| (941) 405-3557 | |
| (941) 248-0228 |
| Full Name | Kevin Deglado Velasco |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 8039 Cooper Creek Blvd Ste 102, University Park, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356895544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT37543 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| One Place Performance And Osteopractic Physical Therapy | 1658803796 | 4 |
| Provider Name | Coactiv Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437813292 PECOS PAC ID: 5294129367 Enrollment ID: O20220307001365 |
| Provider Name | One Place Performance And Osteopractic Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366272486 PECOS PAC ID: 1658803796 Enrollment ID: O20241022002923 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Deglado Velasco, PT 8039 Cooper Creek Blvd Ste 102, University Park, FL 34201-3007 Ph: (941) 405-3557 | Kevin Deglado Velasco, PT 8039 Cooper Creek Blvd Ste 102, University Park, FL 34201-3007 Ph: (941) 405-3557 |
Tiffany Wozniak, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8020 Rio Bella Pl, University Park, FL 34201 Phone: 941-557-3108 | |
One Place Performance And Osteopractic Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 8039 Cooper Creek Blvd Ste 102, University Park, FL 34201 Phone: 347-549-3299 |