JESSICA AVERY DPT NPI 1255654547

NPI Information

  • NPI: 1255654547
  • Provider Name: JESSICA AVERY, DPT
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1695 VIA AMIGOS
    SAN LORENZO, CA
    ZIP 94580
  • Phone: (510) 909-9266

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NPI Details

Jessica Avery, DPT is a pediatrics physical therapist in San Lorenzo, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. Jessica Avery, DPT NPI is 1255654547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1695 VIA AMIGOS
SAN LORENZO, CA
ZIP 94580-009
Phone: (510) 909-9266

The enumeration date for this NPI number is 3/1/2010 and was last updated on 11/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251P0200XPhysical TherapistPediatricsPT32353CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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