Dody Deavours, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008815 Issued in GA

Practice address

7130 Mount Zion Blvd
Suite 9
Jonesboro, GA 30236-2566

Phone

(770) 603-5660

Fax

(770) 603-6779

NPI assigned

Nov 6, 2006

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

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.

• Aica Orthopedics, P. C.

  • Clinic/Center
  • Stone Mountain, GA
  • NPI 1528640737
  NPD (past)
• Aica Orthopedics, P. C.

  • Multi-Specialty Clinic/Center
  • Kennesaw, GA
  • NPI 1730532698
  NPD (past)
• Aica Orthopedics, P.C.

  • Multi-Specialty Clinic/Center
  • Lithia Springs, GA
  • NPI 1740692342
  NPD (past)
• Aica Orthopedics, P.C.

  • Clinic/Center
  • Atlanta, GA
  • NPI 1841708682
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1487733739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MOUNT ZION BLVD",
            "address_2": "SUITE 9",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362566",
            "telephone_number": "770-603-5660",
            "fax_number": "770-603-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAVOURS",
        "first_name": "DODY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Davis, RPH
• Shantel Remi Davis
• Melonie Daviscopeland, BEHAVIOR TECHNICIAN
• Bilinda Dawkins-Francis, DNP
• Halane Dean-Kendrick, LPC
• Danisha Debise
• Jozetta Dejean, PHARMD
• Debra May Delatte, LPN
• Kayla Deloach, OTR/L
• Delta & Charley 3208 LLC

• Physical Therapist in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.