Nadege Dervis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 23002 Issued in FL

Practice address

7710 S US Highway 1
Port St Lucie, FL 34952-2320

Phone

(772) 335-5300

Fax

(772) 873-3004

NPI assigned

Apr 3, 2007

Last updated

Aug 10, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Bethesda Physical Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Port St Lucie, FL
  • NPI 1093528622

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Coastal Orthopaedics & Sports Medicine Center

  dba Coastal Orthopaedic & Sports Medicine Center

  • Specialist
  • Port Saint Lucie, FL
  • NPI 1245291988
  Medicare reassignment
• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1417067844
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1245351550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-873-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-873-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERVIS",
        "first_name": "NADEGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 23002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Arts of St Lucie West Inc
• Dentistry by Design, LLC
• Fransise Derezil
• Rachelle Arseneau Dermody, DMD
• Davene Alexandra Derosier, APRN
• Anil Desai, M.D.
• Edwidge Desanges
• Paul Desantis, OD
• Tanaya Desdunes
• Rose Deslandes, RT

• Physical Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.