Axis Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT16753 Issued in CA

Legal business name

AXIS PHYSICAL THERAPY

Doing business as

Axis Physical Therapy, Inc.

Practice address

505 E Romie LN
Suite#I
Salinas, CA 93901-4031

Phone

(831) 757-3055

Fax

(831) 757-5622

NPI assigned

Jul 19, 2006

Last updated

Jan 19, 2012By 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

Mr. Mario Teering, P.T.NPI 1174698013

Title

Ceo/P.T.

Phone

(831) 757-3055

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Axis Physical Therapy, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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.

• Mario Teering, P.T.

  • Physical Therapist
  • Salinas, CA
  • NPI 1174698013
  Medicare reassignment NPD Authorized official
• Amy Dore, D.P.T.

  • Physical Therapist
  • Pacific Grove, CA
  • NPI 1023040508
  NPD (past)
• Christina A Doyle, PT

  • Physical Therapist
  • Pacific Grove, CA
  • NPI 1053489047
  NPD (past)
• Timothy Doyle, P.T.

  • Specialist
  • Monterey, CA
  • NPI 1093877888
  NPD (past)
• Leo L. Fong, MD

  • Vascular Surgery Physician
  • Clovis, CA
  • NPI 1215047659
  NPD (past)
• Marcel Robert Lak, D.P.T.

  • Physical Therapist
  • Bozeman, MT
  • NPI 1902964943
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1316966344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E ROMIE LN",
            "address_2": "SUITE#I",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014031",
            "telephone_number": "831-757-3055",
            "fax_number": "831-757-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E ROMIE LN",
            "address_2": "SUITE#I",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014031",
            "telephone_number": "831-757-3055",
            "fax_number": "831-757-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "TEERING",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO/P.T.",
        "authorized_official_telephone_number": "831-757-3055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ26996Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ26997Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Physical Therapy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celeste Avilez
• Lizbeth Avilez
• Alissa Avina, DC
• Sandra Leticia Avina, BA
• Yurika Awano, LMFT
• Juanita Ayala Cerritos
• Brenda Ayala-Zamora
• Adilene Ayala
• Alondra Ayala
• Esteban Ayala

• Physical Therapist in Salinas, CA
• Providers in Salinas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.