Mary Catherine Dement, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6930 Issued in NC

Practice address

231 Treetop Dr
Fayetteville, NC 28311-0606

Phone

(910) 488-4821

NPI assigned

May 23, 2019

Last updated

May 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1174180350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CASTLEROCK DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273321380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 TREETOP DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283110606",
            "telephone_number": "910-488-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMENT",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delmar Counseling Services
• Kevin L Deloach
• Sharon D. Deloach
• Delta Vita, PLLC
• Jared K Dement, PA-C
• George John Demetri Jr., DPM
• Te'Ha Demps, LCSW
• Melissa Dempsey
• Ann Hawkinson Dempster, OT
• Thomas C Dempster, LPA

• Physical Therapy Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.