Active NPI
Demetria Reed, DPT
- Physical Therapist
- Corsicana, TX
National Provider Identifier
1033596606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1250488
- Practice address
- 1300 N 45TH St Apt 1323
Corsicana, TX 75110-1733 - Phone
- (314) 662-2692
- NPI assigned
- May 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1250488 | TX | Primary |
Addresses
Primary practice location
1300 N 45TH St Apt 1323
Corsicana, TX 75110-1733
Mailing address
1300 N 45TH St Apt 1323
Corsicana, TX 75110-1733
Phone (314) 662-2692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1250488 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Tailor Made Senior Service Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430524800000",
"number": "1033596606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 45TH ST APT 1323",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751101733",
"telephone_number": "314-662-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 45TH ST APT 1323",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751101733",
"telephone_number": "314-662-2692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "DEMETRIA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-02",
"last_updated": "2015-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1250488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.