Steve Aviles, MPT, ATC
Individual provider Active NPI Physical Therapist · Diamond Bar, CA
NPI 1255436895 · NPPES record last updated Sep 9, 2016
Key facts
- NPI
- 1255436895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT22029 (CA)
- Practice address
- 1370 Valley Vista Dr Ste 145
Diamond Bar, CA 91765-3950 - Phone
- (909) 861-3511
- Fax
- (909) 860-7900
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pomona Valley Orthopedic and Sports Physical Therapy Inc
Practice addresses (Care Compare)
21015 Pathfinder Rd
Suite 100
Diamond Bar, CA 91765-4002
Phone (909) 861-3511
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215001069 | CA | Practitioner - Physical Therapist in Private Practice | 2860459310 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22029 | CA | MD | Rehabilitation Psychologist |
| PT22029 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pomona Valley Orthopedic and Sports Physical Therapy, Inc | Physical Therapist | Current |
Accepting new patients |
| JM Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Prostar Sports Training and Rehabilitation | Physical Therapist | Past | Accepting new patients |
Locations
21015 Pathfinder Rd
Ste 100
Diamond Bar, CA 91765
Phone 9098613511 ext. 305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT22029 | CA | Yes |
Addresses
Primary practice location
1370 Valley Vista Dr Ste 145
Diamond Bar, CA 91765-3950
Mailing address
21015 Pathfinder Rd
Ste 100
Diamond Bar, CA 91765-4002
Phone (909) 861-3511
Other providers in Diamond Bar, CA
- Bhumika Arvind
- Uche Phyllis Asiodu
- Peter Allison Austin
- Thomas Gail Auyong
- Jeanette C. Auzenne-Gonzalez
- Avzo LLC
- Katherine Anne Baca
- Heasuk Bae
- Claudia Baettig
- Sushma Bahl
All providers in Diamond Bar, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.