Advantage Wellness and Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ADVANTAGE WELLNESS AND PHYSICAL THERAPY INC

Practice address

3435 Silverbell Rd
Chico, CA 95973-0386

Phone

(530) 774-2261

Fax

(530) 774-2378

NPI assigned

Mar 5, 2024

Last updated

Mar 5, 2024By 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

Rylan Willis, PT, DPTNPI 1669048021

Title

Ceo/ Manager

Phone

(530) 638-5767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Rylan Willis, PT, DPT

  • Physical Therapist
  • Chico, CA
  • NPI 1669048021
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1326805490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 SILVERBELL RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 SILVERBELL RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959730386",
            "telephone_number": "530-774-2261",
            "fax_number": "530-774-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE WELLNESS AND PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "RYLAN",
        "authorized_official_title_or_position": "CEO/ MANAGER",
        "authorized_official_telephone_number": "530-638-5767",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adventist Health Physicians Network
• Adventist Health Physicians Network
• Adventist Health Physicians Network
• Adventist Health Physicians Network
• Adventist Health Physicians Network

• Physical Therapy Clinic/Center in Chico, CA
• Providers in Chico, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.