Azahy Ayala-Clark, PT, DPT.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11333 Issued in LA

Practice address

3850 Riverlakes Dr
Bakersfield, CA 93312-6662

Phone

(661) 529-2303

NPI assigned

Oct 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacobo Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Bakersfield, CA
  • NPI 1326618083
  NPD

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1396297230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 RIVERLAKES DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126662",
            "telephone_number": "661-529-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 RIVERLAKES DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933126662",
            "telephone_number": "661-529-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Springfield Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416712",
            "country_code": "US",
            "telephone_number": "956-725-4555",
            "fax_number": "956-725-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA-CLARK",
        "first_name": "AZAHY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "11333",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "2123023",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Awnallah
• Fiona Lillian Axelsson, MD
• Amira N Ayad, M.D.
• Ingy N Ayad, MD
• Judith Nohemi Ayala-Cadena, LCSW, MSW
• Irving Ayala-Rodriguez, M.D.
• Abril Ayala
• Alexis Ayala
• Estefani Ayala
• Jasmine Ayala

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.