Carla Devenpeck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0012855 Issued in CO

Practice address

1690 30TH St
Boulder, CO 80301-1034

Phone

(303) 447-2873

NPI assigned

Sep 17, 2014

Last updated

Sep 17, 2014By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Denver Sport and Spine Inc

  • Sports Physician Chiropractor
  • Denver, CO
  • NPI 1124371570
  NPD

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1407258726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 30TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 30TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011034",
            "telephone_number": "303-447-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVENPECK",
        "first_name": "CARLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Developmental Disabilities Center
• Developmental Disabilities Center (Imagine)
• Developmental Disabilities Center (Imagine)
• Developmental Disabilities Center (Imagine)
• Developmental Disabilities Center
• Anne Devereux
• Paula Devillier, LMT
• James F. Dewey, M.ED.
• Madison Nicole Dewey, OTD, OTR/L
• Joshua W. Dewitt

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.