Active NPI
Devin Nagel, PT
- Physical Therapist
- Kenmore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010704-1
- Practice address
- 2438 Elmwood Ave
Kenmore, NY 14217 - Phone
- (716) 873-9154
- Fax
- (716) 875-3796
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- 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 | 010704-1 | NY | Primary |
Addresses
Primary practice location
2438 Elmwood Ave
Kenmore, NY 14217
Mailing address
2438 Elmwood Ave
Kenmore, NY 14217
Phone (716) 873-9154
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00062841101 | Other | NY | BCBS |
| 9313181 | Other | NY | INDEPENDENT HEALTH |
| 814808 | Other | NY | EMPIRE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
741 A Tilghman Dr
Dunn, NC 28334-5507
Phone (910) 891-2432
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014315 | NY | MD | Clinical Child & Adolescent Psychologist |
| 010704-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
| Emergeortho PA | Current | Accepting new patients | |
| Ken-Ton Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
910 W Williams St
Apex, NC 27502
Phone (919) 363-1957
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
Interoperability endpoints
- devin.nagel.1@847.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
-
- Physical Therapist
- Kenmore, NY
- NPI 1861562506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922173293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2438 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "14217",
"telephone_number": "716-873-9154",
"fax_number": "716-875-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2438 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "14217",
"telephone_number": "716-873-9154",
"fax_number": "716-875-3796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "DEVIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010704-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00062841101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9313181",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "814808",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.