Individual provider Active NPI

Kelsey W Devoe, DPT

  • Physical Therapist
  • Natick, MA
National Provider Identifier
1215547674
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24792 Issued in MA
Practice address
1 H F Brown Way
Natick, MA 01760-3889
Phone
(508) 647-1633
Fax
(508) 647-1634
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 24792 MA Primary

Addresses

Primary practice location

1 H F Brown Way
Natick, MA 01760-3889

Mailing address

1 H F Brown Way
Natick, MA 01760-3889
Phone (508) 647-1633

Other practice location 1

290 Vanderbilt Ave Ste 5
Norwood, MA 02062-5038
Phone (781) 349-8235

Other identifiers 1

IdentifierTypeStateIssuer
24792OtherMASTATE LICENSE

Other names 1

  • Kelsey E Warren Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1215547674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 H F BROWN WAY",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603889",
            "telephone_number": "508-647-1633",
            "fax_number": "508-647-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 H F BROWN WAY",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603889",
            "telephone_number": "508-647-1633",
            "fax_number": "508-647-1634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Vanderbilt Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020625038",
            "country_code": "US",
            "telephone_number": "781-349-8235",
            "fax_number": "781-349-8217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVOE",
        "first_name": "KELSEY",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "24792",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "WARREN",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.