Devin Deshon Prater, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-04091 Issued in KS

Practice address

12000 Lamar Ave
Overland Park, KS 66209-2705

Phone

(913) 735-0997

NPI assigned

May 3, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Devin Deshon Prater-Dudley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1093404279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 LACKMAN RD APT 808",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662178330",
            "telephone_number": "816-752-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 LAMAR AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092705",
            "telephone_number": "913-735-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "DEVIN",
        "middle_name": "DESHON",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-04091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVIN",
            "last_name": "PRATER-DUDLEY",
            "middle_name": "DESHON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Meredith E Pramann, COTA/L
• Michael Todd Prater
• Emmalyn Nicole Pratt, ND
• Melinda Pratt
• Jessica Danae' Prebble, APRN
• Precision Spine & Orthopaedic Specialists, LLC

• Physical Therapy Assistant in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.