Organization Active NPI

Avante Therapy Services Inc

  • Physical Therapist
  • Oxnard, CA
National Provider Identifier
1467673079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17114 Issued in CA
Legal business name
AVANTE THERAPY SERVICES INC
Practice address
1411 Camino de la Luna
Oxnard, CA 93030-5469
Phone
(805) 218-7987
Fax
(805) 856-2217
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lia Jennings, PTNPI 1588755102
Title
Director
Phone
(805) 218-7987

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
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT17114 CA Primary

Addresses

Primary practice location

1411 Camino de la Luna
Oxnard, CA 93030-5469

Mailing address

4900 Telegraph Rd
Ventura, CA 93003-4131
Phone (805) 218-7987

Other identifiers 2

IdentifierTypeStateIssuer
WPT17114AOtherCAMEDICARE PPIN
00PT171140OtherCAINSURANCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467673079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034131",
            "telephone_number": "805-218-7987",
            "fax_number": "805-856-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 CAMINO DE LA LUNA",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305469",
            "telephone_number": "805-218-7987",
            "fax_number": "805-856-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTE THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "LIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-218-7987",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PPIN",
            "identifier": "WPT17114A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "00PT171140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.