Jessica Avery, DPT is a
Physical Therapist - Pediatrics based in San Lorenzo, California. Jessica Avery is licensed to practice in California (license number PT32353) and her current practice location is
1695 Via Amigos, San Lorenzo, California. She can be reached at her office (for appointments etc.) via phone at
(510) 909-9266.
NPI number for Jessica Avery is 1255654547 and her current mailing address is 1695 Via Amigos, San Lorenzo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255654547.
Healthcare Provider's Profile
Full Name | Jessica Avery |
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Gender | Female |
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Speciality | Physical Therapist - Pediatrics |
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Location | 1695 Via Amigos, San Lorenzo, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255654547
- Provider Enumeration Date: 03/01/2010
- Last Update Date: 11/02/2010
Medical Identifiers
Medical identifiers for Jessica Avery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255654547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | PT32353 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Avery is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Avery, DPT 1695 Via Amigos, San Lorenzo, CA 94580-2009 Ph: (510) 909-9266 | Jessica Avery, DPT 1695 Via Amigos, San Lorenzo, CA 94580-2009 Ph: (510) 909-9266 |
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