Active NPI
Devin Avery
- Other Technician
- Fort Worth, TX
National Provider Identifier
1720842008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 2331 Gravel Dr
Fort Worth, TX 76118-6951 - Phone
- (817) 921-3100
- NPI assigned
- Feb 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary | ||
| Physical Therapy Assistant | 225200000X | 2105301 | TX |
Addresses
Primary practice location
2331 Gravel Dr
Fort Worth, TX 76118-6951
Mailing address
13365 Hedgebrook PL
Aledo, TX 76008-2123
Phone (817) 933-9305
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 |
|---|---|---|---|
| 2105301 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1720842008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13365 HEDGEBROOK PL",
"city": "ALEDO",
"state": "TX",
"postal_code": "760082123",
"telephone_number": "817-933-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 GRAVEL DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761186951",
"telephone_number": "817-921-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "DEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-07",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2105301",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.