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

Mr. Carlos Villaverde Avilla, MSPT

Individual provider Pediatric Physical Therapist · NPI 1134374226

Mr. Carlos Villaverde Avilla, MSPT is a Physical Therapist in Private Practice in Medford, New York. Graduated from Mercy College in 2001, 25 years ago. Practices with Home Advantage Physical Therapy PC, a 14-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Trained at
Mercy College
Licensed in
NY
In the registry since
2008

Practice location Address checks out

5 Camden Ct
Medford, NY 11763-1583
Phone: (631) 736-4334
Fax: (631) 736-4333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 023135-1 (NY)

Record details

NPI number1134374226
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedNovember 18, 2008
Last updated in NPPESNovember 18, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMERCY COLLEGE
Graduated 2001 (25 years in practice)
Group practice Home Advantage Physical Therapy Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Medford