Andra Devoght, PT, MPH

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006730 Issued in WA

Legal business name

ANDRA DEVOGHT, PT, MPH

Practice address

10301 SW Cemetery Rd
Vashon, WA 98070-6007

Phone

(206) 465-1728

NPI assigned

Jul 27, 2007

Last updated

Jul 27, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andra Devoght, PT

Title

Owner/Physical Therapist

Phone

(206) 465-1728

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1780874529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2537",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980702537",
            "telephone_number": "206-465-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 SW CEMETERY RD",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980706007",
            "telephone_number": "206-465-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRA DEVOGHT, PT, MPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "DEVOGHT",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "206-465-1728",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Vashon, WA
• Providers in Vashon, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.