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AVILLA INC
NPI 1295499176
Physical Therapist - Pediatrics in Medford, NY

Active since October 26, 2021
5 CAMDEN CT, MEDFORD, NY 11763(516) 384-1206(631) 736-4334 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avilla Inc NPPES

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

AVILLA INC (NPI 1295499176) is a healthcare organization registered as a pediatrics in Medford, New York and active in the NPI registry since October 2021. The organization lists Carlos Avilla, President/ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1295499176
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameAVILLA INC
Location Address5 CAMDEN CTMedford, NY 11763-1583
Mailing Address5 Camden CtMedford, NY 11763-1583 · (516) 384-1206 · Fax (631) 736-4334
Phone(516) 384-1206
Fax(631) 736-4334
Organization SubpartNo
Authorized OfficialCarlos AvillaPresident/ceo/owner · (516) 384-1206
Enumeration DateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1295499176 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
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.
5 CAMDEN CT, Medford, NY 11763
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Other Names 1

Doing Business AsAvilla Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CARLOS VILLAVERDE AVILLA M.S.P.T.
Physical Therapist (Pediatrics)
5 CAMDEN CT
MEDFORD, NY 11763
Suffolk County (631) 736-4334

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 Avilla Inc's NPI number?

The NPI number for Avilla Inc is 1295499176. It was assigned to this organization in the NPPES registry on October 26, 2021.

Where is Avilla Inc located?

Avilla Inc is located at 5 Camden Ct, Medford, NY 11763. The listed phone number is (516) 384-1206.

What is Avilla Inc'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 Avilla Inc was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.