Active NPI
Dana Devagno, PT
- Physical Therapist
- Naples, FL
National Provider Identifier
1710654132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18263
- Practice address
- 770 Goodlette Rd
Naples, FL 34102-5607 - Phone
- (239) 280-4360
- NPI assigned
- Aug 24, 2021
- Last updated
- Aug 24, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT18263 | FL | Primary |
Addresses
Primary practice location
770 Goodlette Rd
Naples, FL 34102-5607
Mailing address
4230 Jack Frost CT Apt 6
Naples, FL 34112-5200
Phone (239) 248-0619
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 |
|---|---|---|---|
| PT18263 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1710654132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 JACK FROST CT APT 6",
"city": "NAPLES",
"state": "FL",
"postal_code": "341125200",
"telephone_number": "239-248-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 GOODLETTE RD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025607",
"telephone_number": "239-280-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVAGNO",
"first_name": "DANA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT18263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.