Anthony Avila-Martin – Rehabilitation Practitioner

Key facts

NPI: 1043643752
Entity type: Individual (NPI type 1)
Primary specialty: Rehabilitation Practitioner 225400000X
Practice address: 100 Rosaschi Rd
Yerington, NV 89447-8722
Phone: (775) 463-5111
NPI assigned: Aug 16, 2013
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Rite of Passage Adolescent Treatment Centers and Schools, Inc. Psychiatric Residential Treatment Facility · Yerington, NV · NPI 1568549111

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Rite of Passage Adolescent Treatment Centers and Schools, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Rehabilitation Practitioner	225400000X			Yes

Addresses

Primary practice location

100 Rosaschi Rd
Yerington, NV 89447-8722

Mailing address

2560 Business Pkwy
Minden, NV 89423-8985
Phone (775) 463-5111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2013.

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1043643752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 BUSINESS PKWY",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894238985",
            "telephone_number": "775-463-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSASCHI RD",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894478722",
            "telephone_number": "775-463-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA-MARTIN",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yerington, NV

All providers in Yerington, NV · Rehabilitation Practitioner in Nevada

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.