Jennifer Devers, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P12342 Issued in NC

Practice address

1721 Allens LN Ste 101
Wilmington, NC 28403-3662

Phone

(910) 256-4442

Fax

(910) 256-4443

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT by the Sea IncGroup PAC ID 1557354826, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• PT by the Sea, Inc

  • Physical Therapist
  • Wilmington, NC
  • NPI 1609981356
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1750483418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ALLENS LN STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033662",
            "telephone_number": "910-256-4442",
            "fax_number": "910-256-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 ALLENS LN STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033662",
            "telephone_number": "910-256-4442",
            "fax_number": "910-256-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERS",
        "first_name": "JENNIFER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P12342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Antoinette Dest, LCSW
• Heather R. Dest, LCSW
• Destination Wellness Therapy PLLC
• Destined Care LLC
• Roxanne S. Devane, RN, FNP
• William Shane Devers, P.T.
• Diana Shawn Deviney, CNM
• Devmar Behavioral, PLLC
• Kylie Dewald, MA
• Kristen Dewberry

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.