Individual provider Active NPI

Devin Stevenson, PT, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1093545634
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6498 Issued in NV
Practice address
2879 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4808
Phone
(725) 726-7847
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6498 NV Primary

Addresses

Primary practice location

2879 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4808

Mailing address

652 Doubleshot LN
Henderson, NV 89052-4816
Phone (702) 289-9269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240930003583 NV Practitioner - Physical Therapist in Private Practice 3870024961
I20251107002000 FL Practitioner - Physical Therapist in Private Practice 3870024961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6 Fairfield Blvd
Suite 6
Ponte Vedra Beach, FL 32082-4628
Phone (904) 996-6922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6498NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

6 Fairfield Blvd
Ste 6
Ponte Vedra Beach, FL 32082
Phone (904) 373-0904

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1093545634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 DOUBLESHOT LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524816",
            "telephone_number": "702-289-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 SAINT ROSE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524808",
            "telephone_number": "725-726-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "DEVIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.