DR. JESSIELYNN AVILA (NPI# 1679877849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679877849 |
| Entity Type | Individual |
| Full Name | DR. JESSIELYNN AVILA |
| Credential | DPT |
| Practice Address |
1550 W 84th St #58 Hialeah FL 33014-3377 |
| Practice Telephone | 3059856122 |
| Practice Fax Number | 7865457657 |
| Mailing Telephone | 3059856122 |
| Mailing Fax Number | 7865457657 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2016-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT26138 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003271100 | 05 |
| Street Address |
1550 W 84TH ST #58 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33014-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922044882 | Universal Health Care Association | Family Medicine | 1550 W 84th St, Suite 52-54, Hialeah, FL 33014-3377 | 2006-06-21 |
| 1275032971 | Alex Francisco | Occupational Therapy Assistant | 1550 W 84th St, Hialeah, FL 33014-3377 | 2018-02-08 |
| 1861990640 | Alejandro Diaz | Occupational Therapy Assistant | 1550 W 84th St, Hialeah, FL 33014-3377 | 2018-01-26 |
| 1659829463 | Tatiana Innocent | Occupational Therapist | 1550 W 84th St, Ste 58, Hialeah, FL 33014-3377 | 2016-09-21 |
| 1619424512 | Ez Rx Hallandale LLC | Pharmacy | 1550 W 84th St, #62, Hialeah, FL 33014-3379 | 2016-09-08 |
| 1023472586 | Melissa Fernandez | Occupational Therapist | 1550 W 84th St, #58, Hialeah, FL 33014-3377 | 2016-04-11 |
| 1639547201 | Keri M Pomella, Od Pa | Optometrist | 1550 W 84th St, Hialeah, FL 33014-3377 | 2015-09-12 |
| 1255738811 | Alejandro Perez | Physical Therapist | 1550 W 84th St, Hialeah, FL 33014-3377 | 2014-11-25 |
| 1083013361 | Healthnet Pharmacy Services, Inc. | Pharmacy | 1550 W 84th St, Suite 31, Hialeah, FL 33014-3377 | 2014-08-22 |
| 1639598360 | Edward Garcia | Pharmacist | 1550 W 84th St, Hialeah, FL 33014-3379 | 2014-04-09 |
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| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1699301333 | Alexander Tamayo Ochoa | Nurse Practitioner | 5400 Nw 159 St Apt 123, Hialeah, FL 33014 | 2020-03-13 |
| 1609336114 | Edward Alexander Pardo | Counselor | 6225 Miami Lakes Drive, Hialeah, FL 33014 | 2019-03-21 |
| 1780158394 | Remedys Nutrition Cv | Pharmacy | 7331 Miami Lakes Dr, Miami Lakes, FL 33014 | 2019-01-16 |
| 1962993642 | Yuleika Rodriguez Gonzalez | Behavior Technician | 6961 W 14th Ct Apt 203, Hialeah, FL 33014 | 2018-05-29 |
| 1730676719 | Bright Steps Therapy Services LLC | Physical Therapy Assistant | 1900 W 68th St Apt E306, Hialeah, FL 33014 | 2018-04-16 |
| 1093211443 | One Soul Cmh Inc | Case Management | 5803 Nw 151st St Ste 202, Miami Lakes, FL 33014 | 2018-04-04 |
| 1528560331 | Yuramis Perez Salvador | Behavior Technician | 8365 W 18 Lane Dr, Hialeah, FL 33014 | 2018-03-07 |
| 1396253613 | Miami Lakes Behavioral Services Corp | Behavioral Analyst | 6001 Nw 153rd Street, Suite 157, Miami Lakes, FL 33014 | 2018-01-22 |
| 1447768452 | Ballast Medical Management, LLC. | Exclusive Provider Organization | 6001 Nw 153rd St Ste 100, Miami Lakes, FL 33014 | 2018-01-12 |
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| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700017381 | Hugo A Lara Sr. | Physical Therapist | 3412 W 84th St, Ste 110, Hialeah, FL 33018-4918 | 2009-07-30 |
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| 1669081634 | Little Steps Florida LLC | Physical Therapist | 2101 Multrees Xing Unit 306, Dunedin, FL 34698-6996 | 2020-07-27 |
| 1154948958 | Grounded Ventures LLC | Physical Therapist | 2146 N 72nd Ter, Pembroke Pines, FL 33024-1042 | 2020-06-29 |
| 1033733464 | Horizons Therapy Services LLC | Physical Therapist | 11066 Suspense Dr, Winter Garden, FL 34787-1752 | 2020-06-01 |
| 1326672593 | Kellie Burch | Physical Therapist | 17677 Mahan Dr, Tallahassee, FL 32309-8679 | 2020-02-26 |
| 1891339578 | Tricia Steffey | Physical Therapist | 2027 Se 5th St, Ocala, FL 34471-2503 | 2019-11-05 |
| 1407402662 | Lora Krystine Kuehn | Physical Therapist | 9872 Nob Hill Ct, Sunrise, FL 33351-4621 | 2019-08-14 |
| 1750937975 | Florida Kids Therapy Medley LLC | Physical Therapist | 7911 Nw 72nd Ave Ste 220, Medley, FL 33166-2224 | 2019-08-13 |
| 1467920249 | Home Sweet Home Pediatric Therapy, LLC | Physical Therapist | 11246 Sw Olmstead Dr, Port Saint Lucie, FL 34987-1945 | 2018-11-09 |
| 1003306119 | Livya Barreirinhas,llc | Physical Therapist | 185 Springline Dr, Vero Beach, FL 32963-2940 | 2018-05-14 |
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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.