NPIMap

Organization Active NPI

Avila Physical Therapy for Women'S Health Inc.

  • Clinic/Center
  • Greenville, NC
National Provider Identifier
1457525339
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
7478 Issued in NC
Legal business name
AVILA PHYSICAL THERAPY FOR WOMEN'S HEALTH INC.
Practice address
308 Greenville Blvd SE
Suite B-3
Greenville, NC 27858-5758
Phone
(252) 215-5225
Fax
(252) 215-5226
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Allyson Daugherty, PT, CLT, CFMNPI 1013024645
Title
Owner
Phone
(252) 215-5225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 7478 NC Primary

Addresses

Primary practice location

308 Greenville Blvd SE
Suite B-3
Greenville, NC 27858-5758

Mailing address

308 Greenville Blvd SE
Suite B-3
Greenville, NC 27858-5758
Phone (252) 215-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080604000410 NC Part B Supplier - Clinic/Group Practice 3870663784 Receives reassigned benefits from 2 practitioners
Practice locations: Greenville, NC
O20100930084785 NC DME Supplier - Independently-Practicing Physical Therapist 3870663784 Practice locations: Greenville, NC

National Provider Directory

National Provider Directory
Tax ID family
Avila Physical Therapy for Womens Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1457525339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 GREENVILLE BLVD SE",
            "address_2": "SUITE B-3",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585758",
            "telephone_number": "252-215-5225",
            "fax_number": "252-215-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 GREENVILLE BLVD SE",
            "address_2": "SUITE B-3",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585758",
            "telephone_number": "252-215-5225",
            "fax_number": "252-215-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVILA PHYSICAL THERAPY FOR WOMEN'S HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-215-5225",
        "authorized_official_credential": "PT, CLT, CFM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "7478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.