Individual provider Active NPI

Antonio Avila, PT

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1083031637
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1218389 Issued in TX
Practice address
1726 Braeswood Dr
Corpus Christi, TX 78412-4584
Phone
(361) 500-6686
NPI assigned
Mar 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1218389 TX Primary

Addresses

Primary practice location

1726 Braeswood Dr
Corpus Christi, TX 78412-4584

Mailing address

7637 Rancho Vista Blvd. West
Corpus Christi, TX 78414

Other names 1

  • Dr. Anthony Avila Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.avilaphysicaltherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150513000686 TX Practitioner - Physical Therapist in Private Practice 2163742271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avila Physical TherapyGroup PAC ID 7911213855, 6 clinicians

Practice addresses (Care Compare)

1726 Braeswood Dr
Corpus Christi, TX 78412-4584
Phone (361) 500-6686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avila Physical Therapy CurrentSince May 4, 2015 Accepting new patients

Locations

1726 Braeswood Dr
Corpus Christi, TX 78412
Phone (361) 500-6686

1114 N 14th St
Kingsville, TX 78363
Phone (361) 500-6686

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1083031637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7637 RANCHO VISTA BLVD. WEST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 BRAESWOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124584",
            "telephone_number": "361-500-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1218389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.avilaphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1726 Braeswood Dr",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784124584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "AVILA",
            "prefix": "DR.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.