Bulk check

Kevin M Avilla, PT, ATC

Physical Therapist in Suwanee, GA. Individual provider (NPI-1).

NPI number1538280698
StatusActive
Last updated in NPPESNov 22, 2013

Details

NPI
1538280698
Entity type
Individual (NPI-1)
Name
Mr. Kevin M Avilla
Credential
PT, ATC
Sex
Male
Sole proprietor
No
Enumeration date
Apr 3, 2007
Last updated
Nov 22, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT010906GAYes
2255A2300X Specialist/Technologist, Athletic Trainer1356MA
225100000X Physical Therapist20091MA

Practice location

1180 Satellite Blvd Nw
Suite 100
Suwanee, GA 30024-4636

Phone 404-367-2080 · Fax 770-495-3493

Mailing address

1180 Satellite Blvd Nw
Suite 100
Suwanee, GA 30024-4636

Phone 404-367-2080 · Fax 770-495-3493

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Suwanee, GA

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check