Avilla Inc

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

AVILLA INC

Doing business as

Avilla Inc

Practice address

5 Camden CT
Medford, NY 11763-1583

Phone

(516) 384-1206

Fax

(631) 736-4334

NPI assigned

Oct 26, 2021

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Avilla, MSPTNPI 1134374226

Title

President/Ceo/Owner

Phone

(516) 384-1206

Specialties & licenses 1

Addresses

Other names 1

• AVILLA INC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Villaverde Avilla, M.S.P.T.

  • Pediatric Physical Therapist
  • Medford, NY
  • NPI 1134374226

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1295499176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CAMDEN CT",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631583",
            "telephone_number": "516-384-1206",
            "fax_number": "631-736-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CAMDEN CT",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631583",
            "telephone_number": "516-384-1206",
            "fax_number": "631-736-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "AVILLA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT/CEO/OWNER",
        "authorized_official_telephone_number": "516-384-1206",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVILLA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine A Arkali, ANP
• Danard Armstrong
• Jillian Ashkenazy
• Carline Audate, LPN
• Jillian Avila
• Carlos Villaverde Avilla, M.S.P.T.
• Shujawodin Azizi, RN
• Nataliya Babinsky, M.A., CCC-SLP
• Deanna Bacchus, LMSW
• Allison Patricia Backer, RDN

• Pediatric Physical Therapist in Medford, NY
• Providers in Medford, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.