Active NPI
Layra Avalos, MSPT, MSHCM
- Physical Therapist
- Avondale, AZ
National Provider Identifier
1861806788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10853
- Practice address
- 125 S Avondale Blvd
Avondale, AZ 85323-5212 - Phone
- (480) 442-8059
- Fax
- (623) 907-8600
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10853 | AZ | Primary |
| Geriatric Physical Therapist | 2251G0304X | 10853 | AZ | |
| Neurology Physical Therapist | 2251N0400X | 10853 | AZ | |
| Pediatric Physical Therapist | 2251P0200X | 10853 | AZ | |
| Sports Physical Therapist | 2251S0007X | 10853 | AZ | |
| Orthopedic Physical Therapist | 2251X0800X | 10853 | AZ |
Addresses
Primary practice location
125 S Avondale Blvd
Avondale, AZ 85323-5212
Mailing address
125 S Avondale Blvd
Avondale, AZ 85323-5212
Phone (480) 442-8059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 908446 | Other | AZ | ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM |
Other names 1
- Layra Boneta-Avalos
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10853 | AZ | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1861806788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S AVONDALE BLVD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853235212",
"telephone_number": "480-442-8059",
"fax_number": "623-907-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S AVONDALE BLVD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853235212",
"telephone_number": "480-442-8059",
"fax_number": "623-907-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVALOS",
"first_name": "LAYRA",
"credential": "MSPT, MSHCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10853",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "AZ",
"license": "10853",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "AZ",
"license": "10853",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "10853",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AZ",
"license": "10853",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "10853",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM",
"identifier": "908446",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAYRA",
"last_name": "BONETA-AVALOS",
"credential": "MSPT, MSHCM",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.