Devane Bejarano

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30481 Issued in FL

Practice address

8430 SW 148TH Dr
Palmetto Bay, FL 33158-1940

Phone

(786) 763-6812

NPI assigned

Jun 28, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1922730969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 SW 148TH DR",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 SW 148TH DR",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581940",
            "telephone_number": "786-763-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJARANO",
        "first_name": "DEVANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Be Strong International, Inc
• Crystal Beale
• Jose Beato
• Beautiful Smiles Palmetto Bay
• Wilbert Becerra Carballo
• Jany Bello, BCBA
• Mercedes Bello, M.D.
• Migdelys Coralia Benedico Osuna
• Alexandra Ana Benitez Lara
• Massiel Elena Benitez Marquez

• Physical Therapy Assistant in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.