Jeremy Shane Devoti, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8794 Issued in TN

Practice address

1420 Tusculum Blvd
Greeneville, TN 37745-4279

Phone

(423) 787-5063

NPI assigned

Mar 16, 2007

Last updated

Sep 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1558485607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 DOGWOOD DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377456412",
            "telephone_number": "423-636-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454279",
            "telephone_number": "423-787-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOTI",
        "first_name": "JEREMY",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8794",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000003175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Shayne Delk, MD
• Christa Delsorbo, PT
• Beth Anne Denney
• Amanda Dawn Denton, LMSW
• Sarah E. Devault, PMHNP
• Karen A. Dewitt, NP
• Lawrence S. Dewitte, P.A.
• Kaitlyn Diddle
• Krislee Dee Dier
• Michele Lynn Dietz

• Physical Therapist in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.