Eric Demers

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

30336 Highway 200 Ste B
Ponderay, ID 83852-9775

Phone

(208) 265-8333

Fax

(208) 263-1394

NPI assigned

Jun 16, 2014

Last updated

Jun 16, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1336553577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30336 HIGHWAY 200 STE B",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529775",
            "telephone_number": "208-265-8333",
            "fax_number": "208-263-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30336 HIGHWAY 200 STE B",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529775",
            "telephone_number": "208-265-8333",
            "fax_number": "208-263-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERS",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Jean Crandall-Williams, P.T., D.P.T., CSCS
• Cynthia D Darby, M.S., L.C.P.C.
• Jade Dardine, MD
• Kirk D Davidson, DMD
• Megan Delaney-Johnson
• Bruce William Demko, CRNA
• Michael Raymond Dibenedetto, M.D.
• John R Diona, LMT
• Dr. Paul E. Koch, Optometrist, P.C
• Eden Home Health of Sandpoint, LLC (Eden Home Health)

• Physical Therapist in Ponderay, ID
• Providers in Ponderay, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.