JESSICA AVERY


Address: 1695 Via Amigos, San Lorenzo, CA 94580-2009
Phone: 5109099266

JESSICA AVERY (NPI# 1255654547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255654547
Entity Type Individual
Full Name JESSICA AVERY
Credential DPT
Practice Address 1695 Via Amigos
San Lorenzo
CA 94580-2009
Practice Telephone 5109099266
Mailing Telephone 5109099266
Enumeration Date 2010-03-01
Last Update Date 2010-11-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
PT32353 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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Office Location

Street Address 1695 VIA AMIGOS
City SAN LORENZO
State CA
Zip Code 94580-2009

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497226047 Sunrise Care Home LLC Clinic/Center 1447 Via Lucas, San Lorenzo, CA 94580 2018-12-07
1700370459 Andrea Gisela Sanchez - Altamirano Behavioral Analyst 16215 Via Arriba Apt 205, San Lorenzo, CA 94580 2018-06-17
1700326030 Cozy Physical Therapy Clinic/Center 16012 Via Granada, San Lorenzo, CA 94580 2017-03-06
1912255605 Brandi S Gates Lactation Consultant, Non-RN 1474 Via Coralla, San Lorenzo, CA 94580 2012-08-28
1255525572 Charlex Corp Usa Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 16829 Daryl Ave, San Lorenzo, CA 94580 2007-08-29
1194917187 Charlex Corp Usa Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 16837 Daryl Ave, San Lorenzo, CA 94580 2007-08-14
1629136080 Winston F Yee Dentist 17760 Hesperian Blvd, San Lorenzo, CA 94580 2006-12-05
1871686568 Linh P Nguyen Chiropractor 15817 Channel Street, San Lorenzo, CA 94580 2006-10-02
1821024902 John Peter Derdivanis Dentist 15600 Washington Ave.ste.e, San Lorenzo, CA 94580 2006-06-23
1588104608 Cozy Physical Therapy Professional Corporation Clinic/Center 16012 Via Granada, San Lorenzo, CA 94580 2017-03-08
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Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699824557 Bay Mtu Physical Therapist 2001 Bockman Rd, Bay School, Room 25, San Lorenzo, CA 94580-1903 2007-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235745233 Tejal Shah Chokshi Physical Therapist 7425 La Mantanza, San Diego, CA 92127-3636 2020-09-16
1487277992 Katherine Anne Zweier Physical Therapist 4646 Van Dyke Ave, San Diego, CA 92116-4842 2020-05-19
1184246621 Achieving Milestones Pediatric Therapy, Inc Physical Therapist 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 2020-05-07
1568094761 Amanda Montoya Physical Therapist 58 Calle Escalon, Camarillo, CA 93010 2020-02-06
1215585690 Maggie Christine Ridenhour Physical Therapist 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 2019-08-29
1477100162 Fasia Ramirez Physical Therapist 35510 Schuber Ln, Temecula, CA 92592-8125 2019-08-19
1689229841 Jaclyn Rymer Physical Therapist 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 2019-08-05
1649836669 Karin Stohn Physical Therapist 100 Mcgivern Way, Santa Cruz, CA 95060-9300 2019-05-15
1376108597 Karen Dzierski Cruise Physical Therapist 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 2019-05-02
1326511064 Lissett Rojas Physical Therapist 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 2019-01-04
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Competitor

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City SAN LORENZO
Zip Code 94580

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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