Active NPI
Devin Kyle Waugh
- Physical Therapy Assistant
- Batavia, OH
National Provider Identifier
1760080444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 012485
- Practice address
- 1114 Neighborhood Dr
Batavia, OH 45103-2874 - Phone
- (513) 688-7250
- NPI assigned
- Oct 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 012485 | OH | Primary |
Addresses
Primary practice location
1114 Neighborhood Dr
Batavia, OH 45103-2874
Mailing address
1433 Double Eagle CT
Lebanon, OH 45036-7026
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dwaugh@symbria.com |
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 |
|---|---|---|---|
| 012485 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1760080444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 DOUBLE EAGLE CT",
"city": "LEBANON",
"state": "OH",
"postal_code": "450367026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 NEIGHBORHOOD DR",
"city": "BATAVIA",
"state": "OH",
"postal_code": "451032874",
"telephone_number": "513-688-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAUGH",
"first_name": "DEVIN",
"middle_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "012485",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dwaugh@symbria.com",
"affiliation": "N",
"address_1": "1114 Neighborhood Dr",
"city": "Batavia",
"state": "OH",
"country_code": "US",
"postal_code": "451032874",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Batavia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.