Avery Carr-Boyd Nilsen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39703 Issued in CA

Practice address

12 Upper Ragsdale Dr
Suite B
Monterey, CA 93940-5730

Phone

(831) 375-1562

Fax

(831) 375-1561

NPI assigned

Nov 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ryan Ranch Physical Therapy, Inc

  • Specialist
  • Monterey, CA
  • NPI 1699792374
  Medicare reassignment NPD

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1124458096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 CASS ST",
            "address_2": "SUITE A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404548",
            "telephone_number": "831-375-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 UPPER RAGSDALE DR",
            "address_2": "SUITE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405730",
            "telephone_number": "831-375-1562",
            "fax_number": "831-375-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSEN",
        "first_name": "AVERY",
        "middle_name": "CARR-BOYD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millisa Jade Nichols
• Nicodemus Medical Corporation
• Dennis Michael Niekro, NP
• Isabel Yuliana Nieto Ochoa, M.S.
• Amanda Nikiel, PT, DPT
• Michele Denise Anderson Nizza, LM, CPM, CLEC, LCCE
• Aubrey Lynn Nohre, PT, DPT
• Neil Northey, MSW, LCSW
• Larry Everett Norton, M.D.
• Anthony Norwood, CMT

• Physical Therapist in Monterey, CA
• Providers in Monterey, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.