Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Divino Avellanosa

Individual provider Physical Therapist · NPI 1851753651

Divino Avellanosa is a Physical Therapist in Private Practice in Branson, Missouri. Qualified in 1992, 34 years ago. Practices with Stein Ancillary Services, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
34
Licensed in
AR
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

109 Briarcliff Rd
Branson, MO 65616-3735
Phone: (417) 339-4069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1650 (AR)
Geriatric Physical Therapist Taxonomy 2251G0304X

Record details

NPI number1851753651
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESMarch 22, 2016
Mailing address109 Briarcliff Rd, Branson, MO 65616-3735

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Stein Ancillary Services, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Branson