OrganizationActive
Avilla Inc
NPI 1295499176 · Pediatric Physical Therapist · Medford, NY
Provider details
- NPI number
- 1295499176
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Carlos Avilla, President/Ceo/Owner(516) 384-1206
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5 Camden Ct
Medford, NY 11763-1583
Phone: (516) 384-1206
Fax: (631) 736-4334
Approximate (ZIP-level) locationGet directions
Mailing address
5 Camden Ct
Medford, NY 11763-1583
Other names (DBA / former)
- Doing business as
- Avilla Inc
Registry dates
- Enumerated
- 2021-10-26
- Last updated
- 2021-10-26
- Certified
- 2021-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.