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Casey Avila, PT

Physical Therapist in Private Practice · Santa Clara

NPI 1659849339

Medicare standing
1 flag on the record
Listed below.
Plans that list them
2
2 carriers
Offices
2

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

2 locations · Mullen Physical Therapy · 4 clinicians in this group

Looking this up.

Plans that list them

2 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Casey Avila’s office at (408) 317-7538 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

2 of 2 plans

Plans whose provider directory lists this clinician
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026

Original Medicare doctor bills

$20,517

Medicare paid this office $20,517 for 14 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Therapy procedure using functional activities14$10,907$31
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes14$9,098$24

Who their Medicare patients are

14 Original Medicare patients in 2024. Average age 74 · Health risk score 0.74. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

The office billed $54,834, Medicare allowed $25,751 and paid $20,517; for 736 services of 5 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Professional record

NPI
1659849339
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1101 S Winchester Blvd Ste B110, San Jose, CA, 95128
NPI first listed
2018-11-11
NPI last updated
2026-02-24
NPI record certified
2026-02-24

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 4880 Stevens Creek Blvd Ste 108, San Jose, CA, 95129