Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leroy Velasco, DPT

Individual provider Physical Therapist · NPI 1982192969

Leroy Velasco, DPT is a Physical Therapist in Private Practice in Encino, California. Qualified in 2017, 9 years ago. Practices with Select San Diego Physical Therapy PC, a 58-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17207 Ventura Blvd Ste 4
Encino, CA 91316-4035
Phone: (818) 386-8070
Fax: (818) 386-8071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT294383 (CA)

Record details

NPI number1982192969
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 25, 2018
Last updated in NPPESApril 25, 2018
Mailing address17207 Ventura Blvd Ste 4, Encino, CA 91316-4035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Select San Diego Physical Therapy Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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