Divine CSRD, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DIVINE CSRD, LLC

Practice address

608 Farm to Market Road 517 West
Dickinson, TX 77539

Phone

(832) 932-7900

Fax

(832) 932-7901

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Bhargav Arvindkumar Dave, PT, DPT

Title

Owner

Phone

(248) 416-3321

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asmi Bhargav Dave, PT, DPT

  • Physical Therapist
  • Pearland, TX
  • NPI 1922586205
  NPD (past)

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1245718469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 FIELD HOLLOW DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841848",
            "telephone_number": "248-416-3321",
            "fax_number": "888-789-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 FARM TO MARKET ROAD 517 WEST",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "77539",
            "telephone_number": "832-932-7900",
            "fax_number": "832-932-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CSRD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "BHARGAV",
        "authorized_official_middle_name": "ARVINDKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-416-3321",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Dickinson, TX
• Providers in Dickinson, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.