Active NPI
Laurie L Devaney, PT, ATC
- Physical Therapist
- Storrs Mansfield, CT
National Provider Identifier
1356434625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006559
- Practice address
- 14 Dog LN
Storrs Mansfield, CT 06269-4249 - Phone
- (860) 486-8615
- Fax
- (860) 486-8617
- NPI assigned
- Oct 1, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006559 | CT | Primary |
Addresses
Primary practice location
14 Dog LN
Storrs Mansfield, CT 06269-4249
Mailing address
33 Cortland Dr
Tolland, CT 06084-2157
Phone (860) 875-4628
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006559 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356434625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 CORTLAND DR",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060842157",
"telephone_number": "860-875-4628",
"fax_number": "860-872-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 DOG LN",
"city": "STORRS MANSFIELD",
"state": "CT",
"postal_code": "062694249",
"telephone_number": "860-486-8615",
"fax_number": "860-486-8617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVANEY",
"first_name": "LAURIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Storrs Mansfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.