Addison Vavala, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT305855 Issued in CA

Practice address

713 Mission Ave Ste B
Oceanside, CA 92054-2852

Phone

(760) 453-7072

Fax

(844) 269-6815

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

No

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Rekinected Physical Therapy IncGroup PAC ID 7810302023, 18 clinicians

Practice addresses (Care Compare)

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Rekinected Physical Therapy, Inc

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1194312538
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1699528844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 MISSION AVE STE B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542852",
            "telephone_number": "760-453-7072",
            "fax_number": "844-269-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 MISSION AVE STE B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542852",
            "telephone_number": "760-453-7072",
            "fax_number": "844-269-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVALA",
        "first_name": "ADDISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT305855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pratan Vathesatogkit, M.D.
• Clayton Vaughan, M.D.
• Aaron Vaughn
• Claudette Vaughn, RD
• Lorenia Lucia Vaughn, D.D.S.
• Eidan Vazquez Lugo
• Juan Carlos Vazquez, NAVY IDC
• Sarah Veda, DACM, LA.C
• Perla Gabriela Vega
• Ashley Velasquez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.