Averon Physical Therapy a Professional Corp

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AVERON PHYSICAL THERAPY A PROFESSIONAL CORP

Practice address

1699 N Imperial Ave Ste J
El Centro, CA 92243-1320

Phone

(760) 675-1125

Fax

(760) 682-3252

NPI assigned

Jul 1, 2026

Organization subpart

No

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

Authorized official

Name

Angel Collado

Title

Revenue Cycle Director

Phone

(760) 675-1125

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1972420073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500252",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921500252",
            "telephone_number": "760-675-1125",
            "fax_number": "760-682-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 N IMPERIAL AVE STE J",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431320",
            "telephone_number": "760-675-1125",
            "fax_number": "760-682-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERON PHYSICAL THERAPY A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "760-675-1125"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in El Centro, CA
• Providers in El Centro, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.