Ava Cicio

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

304430 Issued in CA

Practice address

3848 W Carson St Ste 110
Torrance, CA 90503-6704

Phone

(424) 488-3191

Fax

(310) 933-4803

NPI assigned

Aug 10, 2023

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Re Active Physical Therapy and WellnessGroup PAC ID 4183872740, 14 clinicians

Practice addresses (Care Compare)

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.

• Re Active Physical Therapy and Wellness

  • Neurology Physical Therapist
  • Los Angeles, CA
  • NPI 1952650475
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1205519675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 W CARSON ST STE 110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036704",
            "telephone_number": "424-488-3191",
            "fax_number": "310-933-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 W CARSON ST STE 110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036704",
            "telephone_number": "424-488-3191",
            "fax_number": "310-933-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICIO",
        "first_name": "AVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "CA",
            "license": "304430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lee Chung
• Youn Koo Chung
• Shirley Jaslyn Chuy-Ortiz, PT, DPT
• Steve Ciancio, MD
• Eva Ciccodicola
• Ciji Barlow Acupuncture, a. Prof. Corp.
• Raquel Jennifer Cintron
• Cipher Care, Inc.
• Emily K Cipolla, PT
• Thomas James Cipolla, PT

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.