Provider Demographics
NPI:1760953046
Name:DEVOCHT-PATEL, AHSYA (DPT, PT)
Entity Type:Individual
Prefix:
First Name:AHSYA
Middle Name:
Last Name:DEVOCHT-PATEL
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8396
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33482-8396
Mailing Address - Country:US
Mailing Address - Phone:561-496-5144
Mailing Address - Fax:561-496-5201
Practice Address - Street 1:7015 BERACASA WAY STE 102
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3453
Practice Address - Country:US
Practice Address - Phone:561-939-2033
Practice Address - Fax:561-939-2037
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT32902225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT32902OtherPHYSICAL THERAPY LICENSE