Active NPI
Mary Ann Aviles
- Physical Therapist
- Coal Township, PA
National Provider Identifier
1275816399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021578
- Practice address
- 857 W. Walnut Street
Coal Township, PA 17866-1517 - Phone
- (215) 771-1788
- NPI assigned
- Sep 25, 2011
- 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 | PT021578 | PA | Primary |
Addresses
Primary practice location
857 W. Walnut Street
Coal Township, PA 17866-1517
Mailing address
2501 Maryland Road
B6
Willow Grove, PA 19090-1850
Phone (215) 771-1788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT021578 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1275816399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 MARYLAND ROAD",
"address_2": "B6",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901850",
"telephone_number": "215-771-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 W. WALNUT STREET",
"city": "COAL TOWNSHIP",
"state": "PA",
"postal_code": "178661517",
"telephone_number": "215-771-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILES",
"first_name": "MARY ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-25",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coal Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.