Bradley Keith Demeuse, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015699 Issued in MI

Practice address

5246 N Royal Dr Ste B
Traverse City, MI 49684-6984

Phone

(231) 929-0303

Fax

(231) 929-0305

NPI assigned

Jul 23, 2012

Last updated

Aug 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William Sterling Margaret LLC

  dba Excel Rehabilitation Services

  • Physical Therapist
  • Novi, MI
  • NPI 1003946625
  NPD (past)

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1235484676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 N ROYAL DR STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846984",
            "telephone_number": "231-929-0303",
            "fax_number": "231-929-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEUSE",
        "first_name": "BRADLEY",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015699",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501015699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01332469",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Deliefde, RPH
• Joseph F. Deloach
• Shannon Kingston Demaggio, COTA/L
• Sandra Yost Demarsh, PT
• Tessa Tania Demartini, LMT
• Anne-Marie Cecilia Deming
• Benjamin Jacob Demongey, PHARM D
• Bruce William Dempsey, MA, LPC
• Robyn Denison, PT, DPT
• Dennis E. Pace, O.D., PLC

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.