Active NPI
Katherine Elise Devick, DPT
- Physical Therapist
- Tallahassee, FL
National Provider Identifier
1194335778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36094
- Practice address
- 2410 W Plaza Dr
Tallahassee, FL 32308-5325 - Phone
- (850) 385-6185
- Fax
- (850) 385-2580
- NPI assigned
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015331 | GA | |
| Physical Therapist | 225100000X | PT36094 | FL | Primary |
Addresses
Primary practice location
2410 W Plaza Dr
Tallahassee, FL 32308-5325
Mailing address
PO Box 999
Moultrie, GA 31776-0999
Phone (229) 985-2080
Other practice location 1
301 S Jefferson St
Perry, FL 32347-3236
Phone (850) 584-4006
Other practice location 2
108 N Adams St
Quincy, FL 32351-2404
Phone (850) 875-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2615 Centennial Blvd
Suite 101
Tallahasse, FL 32308-0589
Phone (850) 656-1837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015331 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedic and Sports Physical Therapy P a | Physical Therapist | Current | Accepting new patients |
| Regional Therapy Services Inc | Past | Accepting new patients |
Locations
2615 Centennial Blvd
Ste 101
Tallahassee, FL 32308
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 and National Provider Directory roles.
-
- Physical Therapist
- Tallahassee, FL
- NPI 1114001377
-
- Rehabilitation Clinic/Center
- Tallahassee, FL
- NPI 1588620355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1194335778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 999",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317760999",
"telephone_number": "229-985-2080",
"fax_number": "229-890-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 W PLAZA DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085325",
"telephone_number": "850-385-6185",
"fax_number": "850-385-2580"
}
],
"practiceLocations": [
{
"address_1": "301 S Jefferson St",
"address_purpose": "LOCATION",
"city": "Perry",
"state": "FL",
"postal_code": "323473236",
"country_code": "US",
"telephone_number": "850-584-4006",
"fax_number": "850-584-4007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 N Adams St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "FL",
"postal_code": "323512404",
"country_code": "US",
"telephone_number": "850-875-0333",
"fax_number": "850-875-0335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVICK",
"first_name": "KATHERINE",
"middle_name": "ELISE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015331",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.