MATTHEW AVILA (PT, DPT) – Physical Therapist, NPI 1912779661

MATTHEW AVILA (PT, DPT) is a healthcare provider. based in Valencia, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 305030 (CA). The NPI Number for MATTHEW AVILA (PT, DPT) is 1912779661

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW AVILA (PT, DPT)
NPI
1912779661
Phone
(661) 600-2651
Address
24164 REYES ADOBE WAY
Enumeration Date
26 October 2023
Last Update Date
26 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6613839828
Graduation Year
2023 (3 years ago)
PAC ID
7214375559
Group Practice PAC ID
6507116852
Professional Enrollment ID
I20240404003095
Address ID
CA913212671SA23206AVEX310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MATTHEW AVILA (PT, DPT)

  • 24164 REYES ADOBE WAY

    VALENCIA, CA 913541557

    Phone: (661) 600-2651

    Type: Mailing

  • 23206 LYONS AVE STE 105

    SANTA CLARITA, CA 913212671

    Phone: (661) 383-9828

    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: 2024-04-04

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
I20240404003095IPhysical 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 91354)

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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: 6507116852View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Does MATTHEW AVILA (PT, DPT) have a public NPI I can cite?
Public records show MATTHEW AVILA (PT, DPT) under NPI 1912779661.
Is MATTHEW AVILA (PT, DPT) currently accepting referrals based on NPI status?
Registry metadata lists MATTHEW AVILA (PT, DPT) as active.
What type of care does MATTHEW AVILA (PT, DPT) provide?
MATTHEW AVILA (PT, DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MATTHEW AVILA (PT, DPT)?
MATTHEW AVILA (PT, DPT) shows a connection to Valencia, California in registry-derived data.
Can I export MATTHEW AVILA (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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