NPIMap

Organization Active NPI

Linda L Avery & Associates Physical Therapy Inc

  • Physical Therapist
  • Oakland, CA
National Provider Identifier
1225010283
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT113 Issued in CA
Legal business name
LINDA L AVERY & ASSOCIATES PHYSICAL THERAPY INC
Practice address
3300 Webster St
Suite 402
Oakland, CA 94609-3117
Phone
(510) 451-6020
Fax
(510) 451-6043
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Mrs. Linda Larssen AveryNPI 1174530653
Title
Practice Owner
Phone
(510) 451-6020

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT113 CA Primary

Addresses

Primary practice location

3300 Webster St
Suite 402
Oakland, CA 94609-3117

Mailing address

3300 Webster St
Suite 402
Oakland, CA 94609-3117
Phone (510) 451-6020

Other names 1

  • Linda L Avery & Associates Physical Therapy Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421001491 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911945647 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, CA

National Provider Directory

National Provider Directory

Locations

3031 Telegraph Ave
Ste 144
Berkeley, CA 94705
Phone (510) 440-7600

3017 Telegraph Ave
Ste 330
Berkeley, CA 94705
Phone (510) 451-6020

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1225010283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "LINDA L AVERY & ASSOCIATES PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LARSSEN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "510-451-6020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda L Avery & Associates Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 24, 2011; 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.