ROBERT A AVILA (PT) – Physical Therapist, NPI 1881679967

ROBERT A AVILA (PT) is a healthcare provider. based in Newport beach, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT 32006 (CA). The NPI Number for ROBERT A AVILA (PT) is 1881679967

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT A AVILA (PT)
NPI
1881679967
Phone
(949) 644-1322
Address
200 NEWPORT CENTER DR
Enumeration Date
12 December 2005
Last Update Date
8 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5629862200
Graduation Year
2005 (21 years ago)
PAC ID
2567491764
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20050808001154
Address ID
CA908042013LO3900XHWYX500

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for ROBERT A AVILA (PT)

  • 200, Newport Center Drive, Fashion Island, Newport Center, Newport Beach, Orange County, California, 92660, United States

    #213

    NEWPORT BEACH, CA 926607501

    Phone: (949) 644-1322

    Fax: (949) 644-0316

    Type: Mailing

  • 19000, Hawthorne Boulevard, Dudmore, Torrance, Los Angeles County, California, 90503, United States

    # 300

    TORRANCE, CA 905031517

    Phone: (310) 793-1800

    Fax: (310) 793-1801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2005-08-08

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
I20050808001154IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92660)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What NPI should I save for ROBERT A AVILA (PT)?
Save NPI 1881679967 if you need a stable reference for ROBERT A AVILA (PT).
Does this profile mean ROBERT A AVILA (PT) is currently active?
Yes — ROBERT A AVILA (PT) appears active in the national provider directory.
What kind of provider is ROBERT A AVILA (PT)?
The page reflects Physical Therapist for ROBERT A AVILA (PT). Clinical services aligned with this taxonomy classification.
Where does public data place ROBERT A AVILA (PT)?
The snapshot lists Newport Beach, California for ROBERT A AVILA (PT); download NPPES for the complete set.
What if Newport Beach, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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