Individual provider Active NPI

Devin O'Hara, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Crestview, FL
National Provider Identifier
1962934349
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS18028 Issued in FL
Practice address
182 E Redstone Ave Ste a
Crestview, FL 32539-5371
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DO2616 AL
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X OS18028 FL Primary

Addresses

Primary practice location

182 E Redstone Ave Ste a
Crestview, FL 32539-5371

Mailing address

14 Norwood Rd
Charleston, WV 25314-1327
Phone (304) 561-4016

Other practice location 1

234 Goodman St
UC Physical Medicine & Rehabilitation
Cincinnati, OH 45219-2364
Phone (513) 558-2919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210929003697 AL Practitioner - Physical Medicine and Rehabilitation 3072882174
I20211110001780 FL Practitioner - Physical Medicine and Rehabilitation 3072882174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2616ALMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pain Consultants LLC CurrentSince Sep 7, 2021 Accepting new patients
Clearway Anesthesia Services SE LLC PastSince Mar 27, 2022 Accepting new patients

Locations

4901 Market Place Rd
Pensacola, FL 32504

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1962934349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 NORWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141327",
            "telephone_number": "304-561-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 E REDSTONE AVE STE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395371",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Goodman St",
            "address_2": "UC Physical Medicine & Rehabilitation",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192364",
            "country_code": "US",
            "telephone_number": "513-558-2919",
            "fax_number": "513-558-4458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "DEVIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "DO2616",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS18028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.