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

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