Active NPI
Jordan Devane
- Physical Therapist
- Dothan, AL
National Provider Identifier
1912497850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 131 S Woodburn Dr
Dothan, AL 36305-1195 - Phone
- (334) 791-6920
- NPI assigned
- May 16, 2018
- Last updated
- May 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
131 S Woodburn Dr
Dothan, AL 36305-1195
Mailing address
131 S Woodburn Dr
Dothan, AL 36305-1195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190617000500 | AL | Practitioner - Physical Therapist in Private Practice | 0446583926 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH427 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1912497850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 S WOODBURN DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 S WOODBURN DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051195",
"telephone_number": "334-791-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVANE",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
- Dermatology and Skin Health of Dothan PC
- Dermatology Associates of Bay County, P.a.
- Dermatology Associates of Dothan, LLC (Dermatology Associates of Dothan)
- Dermatology Center South PC
- Bobby Michael Devane, PHARMD
- Dialysis Clinic Inc.
- Diana M Mancuso MD PA
- Dianne D. Steensland, LLC
- Stavros A Diavolitsis, MD
- Dorthea F Diaz, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.