LINDA LARSSEN AVERY (PT) – Physical Therapist, NPI 1174530653

LINDA LARSSEN AVERY (PT) is a healthcare provider. based in Oakland, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT113 (CA). The NPI Number for LINDA LARSSEN AVERY (PT) is 1174530653

Main info

Female
61 Years Of Experience
Accepts Medicare Assignment
Name
LINDA LARSSEN AVERY (PT)
NPI
1174530653
Phone
(510) 451-6020
Address
3300 WEBSTER ST
Enumeration Date
1 August 2006
Last Update Date
12 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
5108416020
Graduation Year
1965 (61 years ago)
PAC ID
3779512801
Professional Enrollment ID
I20050809001027
Address ID
CA947072120AL1532XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Loading map...

Provider Addresses for LINDA LARSSEN AVERY (PT)

  • Broadway Webster Medical Plaza, 3300, Webster Street, Pill Hill, Oakland, Alameda County, California, 94609, United States

    SUITE 402

    OAKLAND, CA 946093117

    Phone: (510) 451-6020

    Fax: (510) 451-6043

    Type: Location

  • 3017, Telegraph Avenue, Elmwood, Berkeley, Alameda County, California, 94705, United States

    STE 330

    BERKELEY, CA 947052049

    Phone: (510) 451-6020

    Fax: (510) 451-6043

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050809001027IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes33823$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes32123$0
97032Application of electrical stimulation with therapist present, each 15 minutes22322$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes10322$0
97530Therapy procedure using functional activities7016$0
View full utilization report →

Insurance plans in this area (ZIP 94609)

Loading plans...

Provider's Procedures

LINDA LARSSEN AVERY (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes43574
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes72781

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to LINDA LARSSEN AVERY (PT)?
The federal identifier for LINDA LARSSEN AVERY (PT) is NPI 1174530653.
Is LINDA LARSSEN AVERY (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LINDA LARSSEN AVERY (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for LINDA LARSSEN AVERY (PT). Clinical services aligned with this taxonomy classification.
Where is LINDA LARSSEN AVERY (PT)'s primary listing?
We display Oakland, California because that is what the record indicates for LINDA LARSSEN AVERY (PT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

4283, Piedmont Avenue, Oakland, Alameda County, California, 94610, United States
NPI: 1104824499

LEIGH CURTIS HOLLOWELL (PT)

Physical Therapist
Broadway Webster Medical Plaza, 3300, Webster Street, Pill Hill, Oakland, Alameda County, California, 94609, United States
NPI: 1194707141
Broadway Webster Medical Plaza, 3300, Webster Street, Pill Hill, Oakland, Alameda County, California, 94609, United States
NPI: 1225010283

Unknown Individual

Chiropractor
3107, Carlsen Street, Oakland, Alameda County, California, 94619, United States
NPI: 1063494755

DOROTHY TAN WONG (PT)

Physical Therapist
Wyndham San José Herradura, Vía 1, Real Cariari, Ulloa, Heredia, Heredia Province, 40104, Costa Rica
NPI: 1790768588
611, Euclid Avenue, Cragmont, Berkeley, Alameda County, California, 94708, United States
NPI: 1841274230
Wyndham San José Herradura, Vía 1, Real Cariari, Ulloa, Heredia, Heredia Province, 40104, Costa Rica
NPI: 1225012032

MICHAEL J FENNO (PT)

Physical Therapist
Summit Professional Building, 400, 29th Street, Northgate / Koreatown, Oakland, Alameda County, California, 94612, United States
NPI: 1396720876
Hornitos Cafe, 3022, International Boulevard, Fruitvale, Oakland, Alameda County, California, 94601, United States
NPI: 1154301497