NPIMap

Organization Active NPI

Avila Physical Therapy

  • Physical Therapy Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1164813937
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
677470000 Issued in TX
Legal business name
AVILA PHYSICAL THERAPY
Practice address
1726 Braeswood Dr
Corpus Christi, TX 78412-4584
Phone
(361) 500-6686
NPI assigned
Feb 13, 2015
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Antonio AvilaNPI 1083031637
Title
Owner
Phone
(361) 500-6686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 677470000 TX Primary

Addresses

Primary practice location

1726 Braeswood Dr
Corpus Christi, TX 78412-4584

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150908002605 TX Part B Supplier - Clinic/Group Practice 7911213855 Receives reassigned benefits from 7 practitioners
Practice locations: Corpus Christi, TX; Kingsville, TX

National Provider Directory

National Provider Directory

Locations

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

2033 Airline Rd
Ste E7
Corpus Christi, TX 78412
Phone (361) 500-6686

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1164813937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 BRAESWOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124584",
            "telephone_number": "361-500-6686"
        },
        {
            "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": {
        "organization_name": "AVILA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-500-6686"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "677470000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 4, 2022; 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.