Devin James Bean, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT-6269 Issued in ID

Practice address

1400 E Terry Dr BLDG 63
Pocatello, ID 83209-0001

Phone

(208) 282-2590

Fax

(833) 499-1813

NPI assigned

Aug 26, 2024

Last updated

Aug 26, 2024By 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

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Idaho State University

  dba Idaho State University Speech & Hearing Clinic

  • Audiologist
  • Pocatello, ID
  • NPI 1952474777

  Single Specialty

  Medicare reassignment NPD
• Idaho State University

  • Community/Retail Pharmacy
  • McCammon, ID
  • NPI 1083393284
  NPD
• Idaho State University

  dba ISU Nutrition Clinic

  • Nutrition Education Nutritionist
  • Meridian, ID
  • NPI 1487245122
  NPD

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1881428688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N GREENWILLOW LN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834011396",
            "telephone_number": "208-206-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E TERRY DR BLDG 63",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832090001",
            "telephone_number": "208-282-2590",
            "fax_number": "833-499-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "DEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "ID",
            "license": "PT-6269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Roots Counseling
• Beacon Health Services Inc (Beacon Hospital & Rehabilitation Of Pocatello)
• Beacon Health Services Inc (Beacon Hospital Of Pocatello)
• Beacon Therapy LLC
• Shantel Beaman
• Leslie Ann Bean, NP
• Trudy Bearden, PA-C
• Bradley Yamashita Beaufort, DO
• Christian Beauregard, DO
• Angela M. Beck, MPT

• Pediatric Physical Therapist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Pediatric Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.