Samantha Demetrius
Individual provider Active NPI Physical Therapy Assistant · Hatboro, PA
NPI 1346070901 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1346070901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE013637 (PA)
- Practice address
- 3485 Davisville Rd
Hatboro, PA 19040-4220 - Phone
- (215) 830-0400
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE013637 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE013637 | PA | Yes |
Addresses
Primary practice location
3485 Davisville Rd
Hatboro, PA 19040-4220
Mailing address
1003 Easton Rd Apt C220
Willow Grove, PA 19090-2061
Other providers in Hatboro, PA
- Sarah Kathleen Daley
- Daniel J Breuer, DMD PC
- Darron Rishwain DDS PLLC
- Andrea Davis
- Christina Marie Defrancisco
- Mario Vincent Dicarlo
- Mindy Dion
- George Jay Dishler
- Lili Domanico
- Robin Lynn Donahue
All providers in Hatboro, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.