Holly Connor Devore, PHYSICAL THERAPIST

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

9132 Issued in NC

Practice address

1240 Arbor Rd
Winston Salem, NC 27104-1106

Phone

(336) 724-7921

Fax

(336) 725-0708

NPI assigned

Mar 13, 2007

Sex

Female

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 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

Rehab Medicine of the Carolinas PLLCGroup PAC ID 5890194682, 7 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.

• Rehab Medicine of the Carolinas PLLC

  • Physical Medicine & Rehabilitation Physician
  • Clemmons, NC
  • NPI 1265014849
  Medicare reassignment Care Compare group NPD
• Broad River Rehabilitation

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589
  Medicare reassignment
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Raleigh, NC
  • NPI 1285876250
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1902939796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 RIVERBEND DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270068525",
            "telephone_number": "336-724-7921",
            "fax_number": "336-725-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ARBOR RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041106",
            "telephone_number": "336-724-7921",
            "fax_number": "336-725-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "HOLLY",
        "middle_name": "CONNOR",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NC",
            "license": "9132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Developing and Utilizing Community Talents, LLC
• Casey Margaret Devenger, CRNA
• Amy Devereaux, PT
• Linda Ann Devine, L.P.C.
• Autumn Devitt, LMFT, LCAS
• Chyna Dewalt
• John Joseph Dewar Sr., PA-C, MPAS
• Edward C. Dewindt-Robson, PH.D
• Linda Kimberly Dewindt, PH.D.
• Leila Hamzi Dewitt, D.O.

• Geriatric Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Geriatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.