Individual provider Active NPI

Shenise Rachelle Demons, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1053944413
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014552 Issued in GA
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

Updated by the provider on Dec 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19401NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neu-Level Therapy and Wellness, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince May 10, 2023 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince May 10, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 10, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 10, 2023 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince May 25, 2022 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist PastSince Jan 3, 2023 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.

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.

Verify at the official NPI Registry.