Thomas Dewey, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

010702088 Issued in VA

Practice address

472 Polaris St
Virginia Beach, VA 23461-1935

Phone

(757) 862-0081

NPI assigned

Sep 10, 2015

Last updated

Mar 17, 2021By 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

State licenses

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1750759551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 HISTORIC DECATUR RD UNIT 81",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066102",
            "telephone_number": "757-575-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 POLARIS ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234611935",
            "telephone_number": "757-862-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "THOMAS",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "010702088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasia Devore
• Devoted 2 Comfort Corporation (Devoted 2 Comfort Medical Transportation)
• Devoted Hands LLC
• Devoted Personal Care Agency
• Devoted to Comfort LLC (Devoted to Comfort Medical Transportation)
• Leann Dextradeur
• Jasmine Dhillon, LPC
• Meredith Coleman Dhillon, PA-C
• DHZ Entegrity Logistics LLC
• Fatoumata Diallo

• Athletic Trainer in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.