Deva Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 030235 Issued in NY

Legal business name

DEVA PHYSICAL THERAPY LLC

Practice address

317 W 82ND St
New York, NY 10024-5335

Phone

(347) 850-3382

NPI assigned

Oct 3, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Ambika Devacaanthan, MSPTNPI 1922148337

Title

Physical Therapist

Phone

(347) 850-3382

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ambika Devacaanthan, MSPT

  • Physical Therapist
  • New York, NY
  • NPI 1922148337
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1619251121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W 82ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245335",
            "telephone_number": "347-850-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 82ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245335",
            "telephone_number": "347-850-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "DEVACAANTHAN",
        "authorized_official_first_name": "AMBIKA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-850-3382",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "PT 030235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Logan Deutsch, RN
• Adam Deutscher, O.D.
• Brett Leslie Deutscher, NP
• Lisa Deutscher, M.D.
• Bharati Dev, D.O.
• Madhuri Devabhaktuni, M.D.
• Ambika Devacaanthan, MSPT
• Jacqueline Kay Devaleria, PA-C
• Tamar Devallon, FNP
• Netranie Devanan, LMT

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.