Lavanya Devatha

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT32017 Issued in FL

Practice address

1 Oakwood Blvd
#130
Hollywood, FL 33020-1956

Phone

(954) 925-3844

NPI assigned

Feb 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lavanya Devatha 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": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486166400000",
    "number": "1154869683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5396 BROAD ST",
            "address_2": "APT H",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702239",
            "telephone_number": "443-641-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD BLVD",
            "address_2": "#130",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201956",
            "telephone_number": "954-925-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVATHA",
        "first_name": "LAVANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT32017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVANYA",
            "last_name": "DEVATHA",
            "credential": "P.T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Sauls Desantis, CRNA
• Michelle Rose-Marie Desarmes, APRN, PMHNP-BC
• Florence Alexandre Desgraves, APRN
• Cristina Louise Desir, APRN
• Ednande Desrosiers
• Devereux
• Devereux
• Christopher Devilliers
• Daniel Joseph Devincent, M.D.
• Alina Devitchinskaya, APRN

• Pediatric Physical Therapist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2017; 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.