Michelle Avila

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

291260 Issued in CA

Practice address

16503 Caribou St
Lake Elsinore, CA 92530-1765

Phone

(951) 505-1465

NPI assigned

Feb 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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.

• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1164415279

  Single Specialty

  Medicare reassignment NPD
• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1780303727
  NPD

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1609376862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16503 CARIBOU ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925301765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16503 CARIBOU ST",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925301765",
            "telephone_number": "951-505-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moriah Asch
• J M Asprec, M.D.
• Margaret Austin, CAS II
• Authentically You Family Counseling, Inc.
• Lisa Michelle Avery
• Jamilah Awad, PHARMD, RPH
• Antonio Manuel Ayala
• Carolina Strovenska Ayala
• Erika Azcue
• B. Deirmenjian, DDS, Inc.

• Physical Therapist in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.