Active NPI
Diamantina Virginia Bevers, PTA
- Physical Therapy Assistant
- Lubbock, TX
National Provider Identifier
1457484800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA2053560TX
- Practice address
- 4138 19TH St
Lubbock, TX 79407-2403 - Phone
- (806) 780-2329
- Fax
- (806) 780-2330
- NPI assigned
- Mar 14, 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 Therapy Assistant | 225200000X | PTA2053560TX | TX | Primary |
Addresses
Primary practice location
4138 19TH St
Lubbock, TX 79407-2403
Mailing address
2431 S Loop 289
Lubbock, TX 79423-1519
Phone (806) 771-8008
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 |
|---|---|---|---|
| PTA2053560TX | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1457484800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 S LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231519",
"telephone_number": "806-771-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4138 19TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794072403",
"telephone_number": "806-780-2329",
"fax_number": "806-780-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERS",
"first_name": "DIAMANTINA",
"middle_name": "VIRGINIA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "PTA2053560TX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Kimberly Bethune, MD
- Better Case Manager LLC
- Better Pathways
- Mason Bettes, MD
- Stephanie A Betts, MA, CCC-SLP
- Gerald Clay Bevers, DDS
- Sarah Louise Bevins, OTR/L
- Gabrielle Estelle Beyidi Noah
- Beyondfaith Homecare & Rehab LLC (Beyondfaith Homecare & Rehab of Wichita Falls)
- Beyondfaith Hospice of Lubbock LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.