JESSICA AVERY DPT
NPI 1255654547
Physical Therapist - Pediatrics in San Lorenzo, CA

Active since March 01, 2010
1695 VIA AMIGOS, SAN LORENZO, CA 94580(510) 909-9266 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Avery Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA AVERY DPT (NPI 1255654547) is an individual pediatrics provider in San Lorenzo, California, licensed in California (PT32353) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1255654547
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameJESSICA AVERYCredential: DPT
Location Address1695 VIA AMIGOSSan Lorenzo, CA 94580-2009
Mailing Address1695 Via AmigosSan Lorenzo, CA 94580-2009 · (510) 909-9266
Sole ProprietorYes
Enumeration DateMarch 1, 2010
Last NPPES UpdateNovember 2, 2010
NPI 1255654547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in CA · PT32353
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

1695 VIA AMIGOS, San Lorenzo, CA 94580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Avery's NPI number?

The NPI number for Jessica Avery is 1255654547. It was assigned to this individual provider in the NPPES registry on March 1, 2010.

Where is Jessica Avery located?

Jessica Avery practices at 1695 Via Amigos, San Lorenzo, CA 94580. The listed phone number is (510) 909-9266.

What is Jessica Avery's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Jessica Avery was last updated on November 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.