Edan M Devora, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36970 Issued in CA

Practice address

5475 E la Palma Ave
200
Anaheim, CA 92807-2075

Phone

(714) 701-0479

NPI assigned

Aug 17, 2010

Last updated

Aug 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Proactive Physical Therapy & Sports Medicine Inc

  • Physical Therapy Clinic/Center
  • Carlsbad, CA
  • NPI 1285729509

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ann Steinfeld Physical Therapy

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1760402515
  Medicare reassignment NPD
• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602

  CA

  Medicare reassignment NPD
• Tustin Physical Therapy Specialists, Inc.

  • Physical Therapist
  • Tustin, CA
  • NPI 1639679863
  Medicare reassignment
• Rhodes Physical Therapy of Ca Apc

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1528944915
  NPD

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1205141074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 N STATE COLLEGE BLVD",
            "address_2": "APT 4058",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685700",
            "telephone_number": "210-364-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE",
            "address_2": "200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-701-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORA",
        "first_name": "EDAN",
        "middle_name": "M",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devank LLC (Golden Outlook Senior Care)
• Narayanaiyengar Ramanna Devaraj, MD
• Amandeep K Devgun
• Gretchen Devine, NP
• Raelynn Devine
• Sarah Dewey, PSYD
• Kevin Thomas Dewindt
• Olivia Rose Deyoung, PA-C
• Amrita Kaur Dhinsa
• Payal Pragnesh Dholakiya, DDS

• Physical Therapist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.