Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Dela Vega Autrey, PT

Individual provider Physical Therapist · NPI 1518212380

Divine Dela Vega Autrey, PT is a Physical Therapist in Palm Bay, Florida. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

470 Old Country Rd SE
Palm Bay, FL 32909-6906
Phone: (561) 201-2240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT31959 (TN)

Record details

NPI number1518212380
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 18, 2012
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

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