Individual provider Active NPI

Linda Mary Piera-Avila, P.T.

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1740490184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 24096 Issued in CA
Practice address
2317 Broadway
Santa Monica, CA 90404-2915
Phone
(310) 829-2225
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 24096 CA Primary

Addresses

Primary practice location

2317 Broadway
Santa Monica, CA 90404-2915

Mailing address

1424 12TH St
Apt. E
Santa Monica, CA 90401-3048
Phone (310) 395-4044

Other names 1

  • Ms. Linda Mary Piera-Avila Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 24096CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Rehabilitation Medical Group, Inc. Past Accepting new patients
Spinal Rehabilitation Medical Group Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740490184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 12TH ST",
            "address_2": "APT. E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904013048",
            "telephone_number": "310-395-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 BROADWAY",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042915",
            "telephone_number": "310-829-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERA-AVILA",
        "first_name": "LINDA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 24096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "PIERA-AVILA",
            "middle_name": "MARY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.