Jeffrey Douglas Demmert, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PU60171553 Issued in WA

Practice address

4602 E 42ND Ave
Spokane, WA 99223-1593

Phone

(509) 863-5988

NPI assigned

Aug 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lynden Family Physical Therapy PS Inc.

  • Physical Therapist
  • Lynden, WA
  • NPI 1871578682
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1154636173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 FRONT ST",
            "address_2": "SUITE A",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641729",
            "telephone_number": "360-354-0585",
            "fax_number": "360-354-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 E 42ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992231593",
            "telephone_number": "509-863-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMMERT",
        "first_name": "JEFFREY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PU60171553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick D. Demars, MD
• Mercedes Demartini
• Jeanette Elizabeth Demeis, IBCLC
• Dennis Demille, MS
• Douglas G Demmert, CRNA
• Trinity Demoulin, LMHC
• Jessica Ley Dempsey
• Paula Dempster, LPN
• Susan Denapoli, PHARMD
• Alex Celeste Deneau-Boyd, LMT

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.