Demetria C Juber, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33874 Issued in FL

Practice address

2430 County Road 210 W Ste B
St Johns, FL 32259-2419

Phone

(866) 808-4133

Fax

(866) 849-2728

NPI assigned

Aug 9, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RWW Senior Living Outpatient Rehab Services LLCGroup PAC ID 2163954314, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• RWW Senior Living Outpatient Rehab Services, LLC

  • Physical Therapist
  • St Johns, FL
  • NPI 1811735996
  Medicare reassignment Care Compare group NPD
• Rehab in Motion, LLC

  • Physical Therapist
  • St Johns, FL
  • NPI 1255174371
  NPD
• RWW Senior Living Outpatient Rehab Services, LLC

  • Physical Therapist
  • Sarasota, FL
  • NPI 1619833803
  NPD
• Rehab in Motion, LLC

  • Physical Therapist
  • Little Rock, AR
  • NPI 1912761925
  NPD
• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • St Augustine, FL
  • NPI 1649826900
  NPD (past)
• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • Fernandina Beach, FL
  • NPI 1942660212
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1225517410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "GALLMAN",
            "state": "MS",
            "postal_code": "390770124",
            "telephone_number": "866-808-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 COUNTY ROAD 210 W STE B",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322592419",
            "telephone_number": "866-808-4133",
            "fax_number": "866-849-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBER",
        "first_name": "DEMETRIA",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225517410",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Yvette Johnson, PTA
• Thomas Johnson, PHARMD
• Merranda Jones
• Patrick Emerson Jones, MD
• Bradford Warner Joseph, MD
• Julington Creek Pediatrics
• Julington Creek Speech Therapy, LLC
• Karing Mobility Transportation, LLC
• Sina Kasraeian, MD
• Annaliyah Jennell Keith, BEHAVIOR TECHNICIAN

• Physical Therapist in St Johns, FL
• Providers in St Johns, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.