Individual provider Active NPI

Tara Devine, DPT

  • Physical Therapist
  • Chester, PA
National Provider Identifier
1962051433
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025346 Issued in PA
Practice address
1720 Melrose Ave
Chester, PA 19013-5837
Phone
(610) 499-4585
NPI assigned
Sep 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025346 PA Primary

Addresses

Primary practice location

1720 Melrose Ave
Chester, PA 19013-5837

Mailing address

501 Frazer LN
Aston, PA 19014-1507
Phone (610) 717-6189

Other practice location 1

161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041
Phone (610) 361-1195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124000353 PA Practitioner - Physical Therapist in Private Practice 7214362052 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025346PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Pennsylvania Inc Current Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Apr 9, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 8, 2025 Accepting new patients
Christiana Care Pennsylvania Inc Physical Therapist CurrentSince Apr 9, 2025 Accepting new patients

Locations

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1962051433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FRAZER LN",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141507",
            "telephone_number": "610-717-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MELROSE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135837",
            "telephone_number": "610-499-4585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Wilmington W Chester Pike",
            "address_purpose": "LOCATION",
            "city": "Chadds Ford",
            "state": "PA",
            "postal_code": "193179041",
            "country_code": "US",
            "telephone_number": "610-361-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "TARA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-08",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.