NIKI AVERY PEDIATRIC PT LLC (NPI# 1316430812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316430812 |
| Entity Type | Organization |
| Organization Name | NIKI AVERY PEDIATRIC PT LLC |
| Practice Address |
1050 37th St Evans CO 80620 |
| Mailing Address |
1050 37th St Evans CO 80620-2115 |
| Practice Telephone | 9705902893 |
| Mailing Telephone | 9705902893 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | NIKI AVERY (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9705902893 |
| Authorized Official Credential | MS,PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1050 37TH ST |
| City | EVANS |
| State | CO |
| Zip Code | 80620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710051834 | Envision-creative Support for People With Developmental Disabilities | Case Management | 1050 37th St, Evans, CO 80620-2115 | 2006-11-20 |
| 1245859701 | Envision Creative Support for People With Developmental Disabilities | Case Management | 1050 37th St, Evans, CO 80620-2115 | 2020-04-14 |
| 1568955185 | Niki Avery | Physical Therapist | 1050 37th St, Evans, CO 80620-2115 | 2018-06-08 |
| 1912394396 | Envision Creative Support for People With Developmental Disabilities | Early Intervention Provider Agency | 1050 37th St, Evans, CO 80620-2115 | 2015-04-23 |
| 1437275690 | Envision-creative Support for People With Developmental Disabilities | Respite Care | 1050 37th St, Evans, CO 80620-2115 | 2007-03-21 |
| 1992821144 | Envision-creative Support for People With Developmental Disabilities | Case Management | 1050 37th St, Evans, CO 80620-2115 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734605 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd Ave, Evans, CO 80620 | 2020-03-03 |
| 1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
| 1295980233 | Joshua Woodland | Optometrist | 3247 23rd Ave., (inside Sams Club), Evans, CO 80620 | 2008-11-18 |
| 1619125903 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3247 23rd Avenue, Evans, CO 80620 | 2008-08-29 |
| 1699300020 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd St, Evans, CO 80620 | 2020-03-05 |
| 1336474584 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620 | 2009-10-06 |
| 1013548866 | Envision Creative Support for People With Developmental Disabilities | Respite Care | 1050 37th Street, Evans, CO 80620-0069 | 2020-01-30 |
| 1164424354 | Leonard Alexander Lowe Jr. | Emergency Medicine | 2930 11th Ave, Evans, CO 80620-1011 | 2005-06-01 |
| 1386250843 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2020-09-21 |
| 1639780760 | Cassandra Bigley | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-08-12 |
| Find all providers in zip 80620 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124677919 | Therapy Trails of Evans | Physical Therapist | 536 Grand Slam Dr Ste D, Evans, GA 30809-8045 | 2019-09-05 |
| 1932270287 | Jeff Thomas Kertscher | Physical Therapist | 688 Low Meadow Dr, Evans, GA 30809-5838 | 2006-11-10 |
| 1962591677 | Lynn T Riley | Physical Therapist | 4300 Evans To Locks Rd, Evans, GA 30809-8028 | 2006-10-12 |
| 1568955185 | Niki Avery | Physical Therapist | 1050 37th St, Evans, CO 80620-2115 | 2018-06-08 |
| 1407983232 | In Home Pediatric Therapy Inc | Physical Therapist | 4405 Evans To Locks Rd, Suite C, Evans, GA 30809-3603 | 2007-02-28 |
| 1023170602 | Amy Boozer Moyer | Physical Therapist | 4405 Evans To Locks Rd, Suite C, Evans, GA 30809-3603 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944874 | Emily Kristi Ponte | Physical Therapist | 494 S Youngfield Ct Apt 9-308, Lakewood, CO 80228-2592 | 2020-05-28 |
| 1093353237 | Tonya Mulkey | Physical Therapist | 1880 Little Raven St Apt 723, Denver, CO 80202-6536 | 2019-12-18 |
| 1033757505 | Colorado Physical Therapy Specialists Pllc | Physical Therapist | 4435 Ronald Reagan Boulevard, Johnstown, CO 80534-6566 | 2019-12-16 |
| 1851939599 | Be The Change Physical Therapy LLC | Physical Therapist | 9531 Garnett Way, Arvada, CO 80007-7211 | 2019-12-12 |
| 1861042020 | Natalia Correa-pulido | Physical Therapist | 379 Pilot Knob Ave, Manitou Springs, CO 80829-1643 | 2019-09-18 |
| 1053979468 | Karin Morton | Physical Therapist | 2815 N Glencoe St, Denver, CO 80207-2724 | 2019-05-31 |
| 1427525161 | Rachel Spirito | Physical Therapist | 1020 N Sherman St Apt 105, Denver, CO 80203-2847 | 2018-10-31 |
| 1780176735 | Kids Can | Physical Therapist | 960 55th St, Boulder, CO 80303-2954 | 2018-06-05 |
| 1205341781 | Frieda Elisha Hunter | Physical Therapist | 3453 Alcott St, Denver, CO 80211-3341 | 2017-12-06 |
| 1760995047 | Michele Wesley Physical Therapy LLC | Physical Therapist | 3540 Zane Gray Loop, Parker, CO 80138-4747 | 2017-11-09 |
| Find all providers with the same taxonomy | ||||
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| 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.