Keith Demmon, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8415 Issued in CO

Practice address

2150 Stadium Drive
Boulder, CO 80309-4855

Phone

(303) 315-9900

Fax

(303) 315-9902

NPI assigned

Jul 4, 2006

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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Boulder Community Health

  • General Acute Care Hospital
  • Boulder, CO
  • NPI 1821074196

  CO

  Medicare reassignment Care Compare group NPD
• Fit Physical Therapy Prof LLC

  • Physical Therapy Clinic/Center
  • Littleton, CO
  • NPI 1366442758

  CO

  Medicare reassignment NPD
• Boulder Community Health

  • Medical Specialty Clinic/Center
  • Longmont, CO
  • NPI 1598313553
  NPD
• Boulder Community Health

  • Primary Care Clinic/Center
  • Boulder, CO
  • NPI 1740837137
  NPD
• Fit Physical Therapy

  • Physical Therapist
  • Westminster, CO
  • NPI 1265686224
  NPD
• Boulder Community Health

  • Medical Specialty Clinic/Center
  • Boulder, CO
  • NPI 1407685498
  NPD (past)
• Boulder Community Health

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1609822030
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1215967302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 SOUTHLAND ST",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "80516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 STADIUM DRIVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803094855",
            "telephone_number": "303-315-9900",
            "fax_number": "303-315-9902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6612 S Ward St",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801274855",
            "country_code": "US",
            "telephone_number": "303-409-2133",
            "fax_number": "303-409-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMMON",
        "first_name": "KEITH",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Demarco, MA, LPC,ATR
• Danya Jade Demayo-Lockhart
• Eugene Frank Demayo, O.D.
• Jenny Demeaux, NP
• Anastasia Dementyeva
• Marina S Demontigny, LPC
• Glenda Denham, OD
• Melody F Denham, M.D.
• Kyle Anthony Denlinger, PT, DPT, OCS
• Christine H Denning, MA, LPC

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.