Donna Carlene Devazier, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1715 Issued in AR

Practice address

620 Thompson Ave
West Memphis, AR 72301-3257

Phone

(870) 702-4911

Fax

(870) 702-6386

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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)

Not 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.

• Goode Communications, Etc.,Inc

  • Occupational Therapist
  • West Memphis, AR
  • NPI 1679679021

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609949395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 CHESTNUT ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723351916",
            "telephone_number": "870-633-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 THOMPSON AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013257",
            "telephone_number": "870-702-4911",
            "fax_number": "870-702-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAZIER",
        "first_name": "DONNA",
        "middle_name": "CARLENE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Orthopaedics & Sports Medicine, PLLC
• Erica Blackford Dent, COTA/L
• Norman Clifford Denton, M.D.
• Diane Derose
• James Prentice Derossitt, M.D.
• Development Resource Service LLC
• Developmental Milestones Adult Day Center
• Developmental Milestones Center, LLC
• Patricia A Devine, LCSW
• Diabetes Wellness NP, PLLC

• Physical Therapy Assistant in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.