Individual provider Active NPI

Devyn Kaye Orgill, DPT

  • Physical Therapist
  • Boulder City, NV
National Provider Identifier
1447013404
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1658 Boulder City Pkwy
Boulder City, NV 89005-1904
Phone
(702) 530-6329
Fax
(702) 952-5417
NPI assigned
Feb 2, 2024
Last updated
Dec 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1658 Boulder City Pkwy
Boulder City, NV 89005-1904

Mailing address

PO Box 60516
Boulder City, NV 89006-0516
Phone (702) 530-6329

Other names 1

  • Devyn Kaye Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240206003683 AZ Practitioner - Physical Therapist in Private Practice 4082057146 Reassigns benefits to 1 organization
I20250217001225 NV Practitioner - Physical Therapist in Private Practice 4082057146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical TherapyGroup PAC ID 7012374168, 3 clinicians

Practice addresses (Care Compare)

1658 Boulder City Pkwy
Boulder City, NV 89005-1904
Phone (702) 530-6329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Physical Therapy Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
Moore Physical Therapy PLC Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients

Locations

6410 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (408) 218-1344

2500 S Power Rd
Ste 123
Mesa, AZ 85209
Phone (480) 218-1344

1658 Boulder City Pkwy
Boulder City, NV 89005
Phone (702) 530-6329

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1447013404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60516",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890060516",
            "telephone_number": "702-530-6329",
            "fax_number": "702-952-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 BOULDER CITY PKWY",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051904",
            "telephone_number": "702-530-6329",
            "fax_number": "702-952-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGILL",
        "first_name": "DEVYN",
        "middle_name": "KAYE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVYN",
            "last_name": "TAYLOR",
            "middle_name": "KAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.