Active NPI
Stephanie Devore, PTA
- Pediatric Physical Therapist
- Houston, TX
National Provider Identifier
1548635592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2043750
- Practice address
- 9220 Kirby Dr
Suite 1000
Houston, TX 77054-2533 - Phone
- (713) 383-9700
- Fax
- (713) 383-9795
- NPI assigned
- Dec 2, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2043750 | TX | Primary |
Addresses
Primary practice location
9220 Kirby Dr
Suite 1000
Houston, TX 77054-2533
Mailing address
9220 Kirby Dr
Suite 1000
Houston, TX 77054-2533
Phone (713) 383-9700
Other names 1
- Tess Devore
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 |
|---|---|---|---|
| 2043750 | TX | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1548635592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 KIRBY DR",
"address_2": "SUITE 1000",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542533",
"telephone_number": "713-383-9700",
"fax_number": "713-383-9795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 KIRBY DR",
"address_2": "SUITE 1000",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542533",
"telephone_number": "713-383-9700",
"fax_number": "713-383-9795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVORE",
"first_name": "STEPHANIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "2043750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TESS",
"last_name": "DEVORE",
"credential": "PTA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.