Connor I Devin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

107350 Issued in IA

Practice address

2619 SW 9TH St Ste 103
Des Moines, IA 50315-1910

Phone

(515) 953-6911

Fax

(515) 953-6913

NPI assigned

Jun 30, 2021

Sex

Male

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 CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Mayo Medical School, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TFL Provider Network LLCGroup PAC ID 8820356256, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• TFL Provider Network LLC

  • Orthopedic Physical Therapist
  • Highlands Ranch, CO
  • NPI 1417469701
  Medicare reassignment Care Compare group NPD
• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1417527599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 SW 9TH ST STE 103",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503151910",
            "telephone_number": "515-953-6911",
            "fax_number": "515-953-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIN",
        "first_name": "CONNOR",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "107350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas John Detrick, CADC
• Lauren Devan, LCSW
• Rajan Devan, RPH
• Lynzy Marie Devary, ARNP
• Darrel Devick, DO
• Samuel Douglas Devine, RPH
• Kevin Layne Devnich, CCP
• Jennifer Devries, LMHC
• Jesse Allen Dewaard, RN
• Kathleen S Dewald, ARNP

• Physical Therapist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.