Elizabeth Lorraine Avazian, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298877 Issued in CA

Practice address

25150 Hancock Ave Ste 100
Murrieta, CA 92562-5988

Phone

(951) 698-7720

NPI assigned

Oct 27, 2020

Last updated

Jan 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Mobile Therapy a Professional Physical Therapy CorpGroup PAC ID 0648401349, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Mobile Therapy a Professional Physical Therapy Corp

  • Physical Therapist
  • Oceanside, CA
  • NPI 1962843078
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1922608223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE C",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625988",
            "telephone_number": "951-698-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38605 Calistoga Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925634885",
            "country_code": "US",
            "telephone_number": "951-304-0879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31720 Temecula Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925925895",
            "country_code": "US",
            "telephone_number": "951-303-3566",
            "fax_number": "951-303-3577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVAZIAN",
        "first_name": "ELIZABETH",
        "middle_name": "LORRAINE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA434356",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA434354",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.