Active NPI
Linda Larssen Avery, PT
- Physical Therapist
- Oakland, CA
National Provider Identifier
1174530653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT113
- Practice address
- 3300 Webster St
Suite 402
Oakland, CA 94609-3117 - Phone
- (510) 451-6020
- Fax
- (510) 451-6043
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT113 | CA | Primary |
Addresses
Primary practice location
3300 Webster St
Suite 402
Oakland, CA 94609-3117
Mailing address
3017 Telegraph Ave
Ste 330
Berkeley, CA 94705-2049
Phone (510) 451-6020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of California, San Francisco School of Medicine, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1532 Solano Ave
Albany, CA 94707-2120
Phone (510) 841-6020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Physical Therapist
- Oakland, CA
- NPI 1225010283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1174530653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 TELEGRAPH AVE",
"address_2": "STE 330",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052049",
"telephone_number": "510-451-6020",
"fax_number": "510-451-6043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 WEBSTER ST",
"address_2": "SUITE 402",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093117",
"telephone_number": "510-451-6020",
"fax_number": "510-451-6043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "LINDA",
"middle_name": "LARSSEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.