Active NPI
Shenise Rachelle Demons, DPT
- Physical Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014552
- Practice address
- 1867 Harvard Ave
Atlanta, GA 30337-3526 - Phone
- (404) 835-4321
- Fax
- (404) 835-4320
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- 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 Therapist | 225100000X | PTH11130 | AL | |
| Physical Therapist | 225100000X | PT014552 | GA | Primary |
| Physical Therapist | 225100000X | P19401 | NC |
Addresses
Primary practice location
1867 Harvard Ave
Atlanta, GA 30337-3526
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Other practice location 1
112 Kia Dr Ste B
LaGrange, GA 30241-3731
Phone (706) 668-6336
Other practice location 2
15 Thomas Grace Annex Ln Ste 100
Sharpsburg, GA 30277-3662
Phone (470) 414-7630
Other practice location 3
2846 Moody Pkwy Ste 200
Moody, AL 35004-3329
Phone (205) 640-0257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19401 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neu-Level Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Alabama, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
1867 Harvard Ave
College Park, GA 30337
Phone (404) 635-6021
5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540
975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
112 Kia Dr
#B
Lagrange, GA 30241
Phone (706) 668-6336
100 Millbrook Village Dr
Ste C
Tyrone, GA 30290
Phone (678) 364-9412
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917
Organizations & group practices 8
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.
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- Physical Therapist
- Riverdale, GA
- NPI 1427000777
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Multi-Specialty Clinic/Center
- Cumming, GA
- NPI 1952934374
Physical Therapist
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapist
- Tyrone, GA
- NPI 1659969848
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
-
- Physical Therapist
- Moody, AL
- NPI 1417386434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1053944413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-350-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1867 HARVARD AVE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303373526",
"telephone_number": "404-835-4321",
"fax_number": "404-835-4320"
}
],
"practiceLocations": [
{
"address_1": "112 Kia Dr Ste B",
"address_purpose": "LOCATION",
"city": "LaGrange",
"state": "GA",
"postal_code": "302413731",
"country_code": "US",
"telephone_number": "706-668-6336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Thomas Grace Annex Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Sharpsburg",
"state": "GA",
"postal_code": "302773662",
"country_code": "US",
"telephone_number": "470-414-7630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2846 Moody Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Moody",
"state": "AL",
"postal_code": "350043329",
"country_code": "US",
"telephone_number": "205-640-0257",
"fax_number": "205-640-0285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMONS",
"first_name": "SHENISE",
"middle_name": "RACHELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH11130",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014552",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.