Active NPI
Kristen Demura, D.P.T
- Physical Therapist
- Hendersonville, TN
National Provider Identifier
1285928333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0000008038
- Practice address
- 125 Island Dr
Hendersonville, TN 37075-4544 - Phone
- (615) 714-5359
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- No
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 | PT0000008038 | TN | Primary |
Addresses
Primary practice location
125 Island Dr
Hendersonville, TN 37075-4544
Mailing address
129 Judson Dr
Hendersonville, TN 37075-5697
Phone (615) 829-0323
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000008038 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1285928333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 JUDSON DR",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370755697",
"telephone_number": "615-829-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ISLAND DR",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370754544",
"telephone_number": "615-714-5359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMURA",
"first_name": "KRISTEN",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT0000008038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.