Individual provider Active NPI

Casey Avila

  • Physical Therapist
  • Santa Clara, CA
National Provider Identifier
1659849339
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3530 Lochinvar Ave
Santa Clara, CA 95051-5108
Phone
(408) 484-1028
NPI assigned
Nov 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3530 Lochinvar Ave
Santa Clara, CA 95051-5108

Mailing address

1101 S Winchester Blvd Ste B110
San Jose, CA 95128-3914

Other practice location 1

4880 Stevens Creek Blvd Ste 108
San Jose, CA 95129-1034
Phone (408) 317-7538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229002565 CA Practitioner - Physical Therapist in Private Practice 0143665141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mullen Physical TherapyGroup PAC ID 2668774019, 4 clinicians

Practice addresses (Care Compare)

3530 Lochinvar Ave
Santa Clara, CA 95051-5108

4880 Stevens Creek Blvd
Suite 108
San Jose, CA 95129-1034
Phone (408) 317-7538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mullen Physical Therapy Physical Therapist CurrentSince Jan 24, 2024 Accepting new patients
Mullen PT Physical Therapist CurrentSince Jul 9, 2025 Accepting new patients
Thrive Therapy & Social Center Past Accepting new patients

Locations

4880 Stevens Creek Blvd
Ste 108
San Jose, CA 95129
Phone (408) 317-7538

3530 Lochinvar Ave
Santa Clara, CA 95051
Phone (408) 317-7538

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1659849339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE B110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 LOCHINVAR AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515108",
            "telephone_number": "408-484-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4880 Stevens Creek Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951291034",
            "country_code": "US",
            "telephone_number": "408-317-7538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-11",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.