Nancy Jeanne Avila, P.T.
Individual provider Active NPI Physical Therapist · Sonora, CA
NPI 1992834071 · NPPES record last updated Apr 14, 2015
Key facts
- NPI
- 1992834071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT12510 (CA)
- Practice address
- 181 Fairview LN
Sonora, CA 95370-4809 - Phone
- (209) 532-6463
- Fax
- (209) 532-3420
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic and Neurological Rehab Inc
Practice addresses (Care Compare)
500 E Valley Pkwy
Escondido, CA 92025-3054
Phone (800) 967-4667
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070516000476 | CA | Practitioner - Physical Therapist in Private Practice | 8325145972 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12510 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current |
Accepting new patients | |
| Orthopaedic and Neurological Rehab Inc | Physical Therapist | Current |
Accepting new patients |
| Gary M. Deacon | Physical Therapist | Past |
Accepting new patients |
| Theresa M Locke Physical Therapy, Inc | Physical Therapist | Past |
Accepting new patients |
Locations
2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017
9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018
3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128
177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366
3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022
3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12510 | CA | Yes |
Addresses
Primary practice location
181 Fairview LN
Sonora, CA 95370-4809
Mailing address
PO Box 679
Arnold, CA 95223-0679
Phone (209) 795-2674
Other providers in Sonora, CA
- Arthur N. Donaldson, M.D., Inc.
- Kennedi Ashton
- Donald Craig Auwinger
- Avalon Care Center-Sonora LLC
- Margaret Avila
- Bette Axiak
- Dion Aye
- Karen Michelle Bachtelle
- Kaylee Michelle Badgley
- Ashwini Bagwe
All providers in Sonora, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.