CMS-1500 Box 24J / 33a • NPI
1417033127
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
4070 WEST ST, CAMBRIA, CA, 93428-3023
✓ 9-Digit EDI 837 ZIP+4 (93428-3023)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1417033127 (AZEVEDO CHIROPRACTIC, A PROFESSIONAL CORPORATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1417033127 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AZEVEDO CHIROPRACTIC, A PROFESSIONAL CORPORATION |
| Plain-English Specialty | Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: 225100000X (Physical Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4070 WEST ST, CAMBRIA, CA, 93428-3023 |
| Practice Telephone / Fax | Tel: (805) 927-1055 | Fax: (805) 927-1701 |
| Administrative Mailing Address | 4070 WEST ST, CAMBRIA, CA, 93428-3023 |
| Enumeration & Last Sync | Enumerated: 2006-10-27 | CMS Record Updated: 2009-11-06 |
| Authorized Official | KIRK AZEVEDO (President /CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225100000X)
What Does Taxonomy Code 225100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AZEVEDO CHIROPRACTIC, A PROFESSIONAL CORPORATION)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
111N00000X — ChiropractorPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor | State: CA | License: DC27895 | Primary: Secondary |
171100000X — AcupuncturistPlain English: Licensed & Credentialed Acupuncturist | State: CA | License: AC12352 | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: CA | License: PT29969 | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: CA | License: PT35580 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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