Individual provider Active NPI

Michelle Anne Demerin, PT

  • Physical Therapist
  • Dobbs Ferry, NY
National Provider Identifier
1386187292
Registry record updated Nov 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
849935001 Issued in NY
Practice address
115 Broadway
Dobbs Ferry. New York 10522
Dobbs Ferry, NY 10522-2835
Phone
(914) 693-6800
NPI assigned
Nov 24, 2016
Last updated
Nov 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 849935001 NY Primary

Addresses

Primary practice location

115 Broadway
Dobbs Ferry. New York 10522
Dobbs Ferry, NY 10522-2835

Mailing address

115 Broadway
Dobbs Ferry. New York 10522
Dobbs Ferry, NY 10522-2835
Phone (914) 693-6800

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

LicenseStateTypeSpecialty
849935001NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1479945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479945600000",
    "number": "1386187292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROADWAY",
            "address_2": "DOBBS FERRY. NEW YORK 10522",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222835",
            "telephone_number": "914-693-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROADWAY",
            "address_2": "DOBBS FERRY. NEW YORK 10522",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222835",
            "telephone_number": "914-693-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERIN",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-24",
        "last_updated": "2016-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "849935001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2016; 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.