Covaughn Sinclaire Deboskie-Johnson

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Practice address

4930 N 1St Ave
Tucson, AZ 85718-5615

Phone

(520) 440-0341

NPI assigned

Dec 27, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Future All American Sports Therapy Elite Rehabilitation LLC

  dba Fasterpt LLC

  • Physical Therapist
  • Tucson, AZ
  • NPI 1578323861

  Physical Therapy

  NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1629847066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 E WATER ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85719",
            "telephone_number": "520-440-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185615",
            "telephone_number": "520-440-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOSKIE-JOHNSON",
        "first_name": "COVAUGHN",
        "middle_name": "SINCLAIRE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debby Urken LLC
• Jennifer Lyn Debenedetti, PHARM.D.
• Joseph Charles Deboe, DNP, ACNPC-AG, CCRN
• Deborah L Malone Lac LLC
• Deborah Simon LCSW LLC
• Debra a. Kroack MD PC
• Debra Jacobs Ma Otr
• Tammy Sue Debuhr, D.D.S.
• Benigno F Decena III, MD
• Curtis Philip Dechant, O.D.

• Physical Therapy Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.