Active NPI
Shaunn Marie Demuth, MPT
- Physical Therapist
- Seminole, FL
National Provider Identifier
1245445238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 17376
- Practice address
- 7630 141St St
Seminole, FL 33776-3705 - Phone
- (727) 399-8671
- Fax
- (727) 399-8671
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 17376 | FL | Primary |
Addresses
Primary practice location
7630 141St St
Seminole, FL 33776-3705
Mailing address
7630 141St St
Seminole, FL 33776-3705
Phone (727) 399-8671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 17376 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Pain Management of Wyoming, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- NPI 1487295846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1245445238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7630 141ST ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337763705",
"telephone_number": "727-399-8671",
"fax_number": "727-399-8671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7630 141ST ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337763705",
"telephone_number": "727-399-8671",
"fax_number": "727-399-8671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMUTH",
"first_name": "SHAUNN",
"middle_name": "MARIE",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 17376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.