MR. ILDE BOY TAN VELASCO PT, DPT
NPI 1316674112
Physical Therapist in Granite City, IL

Active since August 02, 2022
3500 CENTURY DR, GRANITE CITY, IL 62040(618) 877-2700 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ilde Boy Tan Velasco Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ILDE BOY TAN VELASCO PT, DPT (NPI 1316674112) is an individual physical therapist in Granite City, Illinois and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1316674112
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. ILDE BOY TAN VELASCOCredential: PT, DPT
Location Address3500 CENTURY DRGranite City, IL 62040-2166
Mailing Address4503 E Foxmoor LnLafayette, IN 47905-8562 · (765) 421-9840
Sole ProprietorYes
Enumeration DateAugust 2, 2022
NPPES CertifiedJuly 30, 2022
NPI 1316674112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3500 CENTURY DR, Granite City, IL 62040

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3500 CENTURY DR
GRANITE CITY, IL 62040
Skilled Nursing Facility
3500 CENTURY DR
GRANITE CITY, IL 62040
Speech-Language Pathologist
3500 CENTURY DR
GRANITE CITY, IL 62040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilde Boy Velasco's NPI number?

The NPI number for Ilde Boy Velasco is 1316674112. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Ilde Boy Velasco located?

Ilde Boy Velasco practices at 3500 Century Dr, Granite City, IL 62040. The listed phone number is (618) 877-2700.

What is Ilde Boy Velasco's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Ilde Boy Velasco was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.