Organization Active NPI

Avpt.Inc

  • Physical Therapy Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1902241177
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT23516 Issued in CA
Legal business name
AVPT.INC
Practice address
18095 US Highway 18 Ste C
Apple Valley, CA 92307-2189
Phone
(760) 242-7702
Fax
(760) 242-7571
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Mrs. Dianna Jeanne Donofrio, MPTNPI 1396759759
Title
Owner/Physical Therapist
Phone
(760) 242-7702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT23516 CA Primary

Addresses

Primary practice location

18095 US Highway 18 Ste C
Apple Valley, CA 92307-2189

Mailing address

18095 US Highway 18 Ste C
Apple Valley, CA 92307-2189
Phone (760) 242-7702

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130531000435 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284872391 Receives reassigned benefits from 1 practitioner
Practice locations: Apple Valley, CA

National Provider Directory

National Provider Directory

Locations

18095 US Highway 18
Ste C
Apple Valley, CA 92307
Phone (760) 242-7702

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1902241177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18095 US HIGHWAY 18 STE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072189",
            "telephone_number": "760-242-7702",
            "fax_number": "760-242-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18095 US HIGHWAY 18 STE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072189",
            "telephone_number": "760-242-7702",
            "fax_number": "760-242-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVPT.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "DONOFRIO",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-242-7702",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT23516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.