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

Luis Alexander Velazquez

Individual provider Physical Therapist · NPI 1679172589

Luis Alexander Velazquez is a Physical Therapist in Private Practice in Orange City, Florida. Qualified in 2020, 6 years ago. Practices with The Ear Nose and Throat Surgical Associates PA, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

1495 S Volusia Ave Ste 101
Orange City, FL 32763-7047
Phone: (386) 401-6100
Fax: (386) 960-0551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 N Mangoustine Ave, Sanford, FL 32771-1098 — (407) 878-6565

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT36317 (FL)

Record details

NPI number1679172589
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 21, 2020
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020
Mailing address1495 S Volusia Ave Ste 101, Orange City, FL 32763-7047

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Ear Nose And Throat Surgical Associates Pa — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orange City