Active NPI
Devin O'Hara, D.O.
- Physical Medicine & Rehabilitation Physician
- Crestview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS18028
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2616 | AL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Pain Consultants LLC | Current | Accepting new patients | |
| Clearway Anesthesia Services SE LLC | Past | 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.
-
dba Clearway Pain Solutions Institute
- Interventional Pain Medicine Physician
- Pensacola, FL
- NPI 1669712287
-
dba Clearway Pain Solutions Institute
- Rehabilitation Chiropractor
- Crestview, FL
- NPI 1750941035
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1518617364
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
- North Okaloosa Home Health, LLC (Gulf Coast Home Health)
- Northland Hearing Center, Inc. (U.S. Hearing Solutions)
- Northwest Florida Diabetes & Nutrition Center, LLC
- Angel A Nunez, MD
- Nursetel
- Dana Odom
- Okaloosa Cardiology P a
- Okaloosa Emergency Group LLC
- Okaloosa Eye Care PA
- Okaloosa Ophthalmology Pediatric & Adult Eye Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.