MEDICARE: JONATHAN DAVID VELLA PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	PTA.0015380	CO

General Provider Information

NPI Number	:	1265112874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN DAVID VELLA PTA

Provider Business Mailing Address
First Line	:	4626 DANCING RAIN WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-8349
Country	:	US
Telephone Number	:	253-254-9734
Fax Number	:

Provider Business Practice Location Address
First Line	:	4626 DANCING RAIN WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-8349
Country	:	US
Telephone Number	:	253-254-9734
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	07/19/2023

Similar Medicare Providers

1083505267 — GEORDAN STOLZ
Practice Location Address:

6311 VILLAGE LN
COLORADO SPRINGS, CO
80918-8349

Practice Phone: 719-568-7731
Practice Fax:

1053732529 — DR. FRANK LA CORTE C.PH., P.D.
Practice Location Address:

8349 NW 51ST MNR
CORAL SPRINGS, FL
33067-2807

Practice Phone: 954-803-3829
Practice Fax:

1710947098 — MARTIN VISION PC
Practice Location Address:

388 MAIN ST
COLORADO SPRINGS, CO
80911-1713

Practice Phone: 719-391-2000
Practice Fax: 844-273-2910

1528005220 — ACTION POTENTIAL RLLP
Practice Location Address:

328 MAIN ST
COLORADO SPRINGS, CO
80911-1713

Practice Phone: 719-392-7777
Practice Fax: 719-235-5982

1659312650 — DR. JAMES A ZIMMER DO
Practice Location Address:

5715 KITTERY DRIVE
COLORADO SPRINGS, CO
80911-3529

Practice Phone: 719-392-3883
Practice Fax: 719-390-6338

1518985894 — DR. PETER J. GIACOBBE M.D.
Practice Location Address:

1805 MAIN ST , SUITE B
COLORADO SPRINGS, CO
80911-1176

Practice Phone: 719-390-7071
Practice Fax: 719-390-5590

Directions to “ JONATHAN DAVID VELLA PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.