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General NPI Number Information
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NPI Number | 1093536948
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Entity Type | Individual
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Provider Name | DEVON FOGEL DPT
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Gender | Male
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 19441 GOLF VISTA PLZ STE 340
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City | LEESBURG
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State | VA
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Zip | 20176-8272
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Country | US
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Telephone | 844-595-0451
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Fax |
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Provider Business Mailing Address
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Address Line | 31 W HANOVER ST STE 4
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City | SPRING GROVE
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State | PA
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Zip | 17362-1148
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Country | US
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Telephone | 717-225-6671
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Fax | 717-225-6679
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT033770
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License Number State | PA
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