Deandra Demes, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT04982 Issued in OH

Practice address

7620 Southern Blvd
Suite 3
Boardman, OH 44512-5667

Phone

(330) 965-9330

Fax

(330) 965-9308

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kids Choice LLC

  • Speech-Language Pathologist
  • Boardman, OH
  • NPI 1568798544
  Medicare reassignment Authorized official
• Lock and Key ABA Therapy Group

  • Behavior Analyst
  • Boardman, OH
  • NPI 1558216168
  NPD (past)
• Southwoods Rehabilitation LLC

  • Special Hospital
  • Boardman, OH
  • NPI 1528477288
  NPD (past)
• Tudor Home Therapies Inc

  • Physical Therapist
  • Austintown, OH
  • NPI 1295783389
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1407886740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 SOUTHERN BLVD",
            "address_2": "SUITE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125667",
            "telephone_number": "330-965-9330",
            "fax_number": "330-965-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 SOUTHERN BLVD",
            "address_2": "SUITE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125667",
            "telephone_number": "330-965-9330",
            "fax_number": "330-965-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMES",
        "first_name": "DEANDRA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT04982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000208504",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "34181049501",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario Albert Del Toro, MD
• Sarah Delcalzo
• Kelsey Marie Demart, LPCC
• Theresanne Demartino Ringler, DO, MS
• Nicole M Dematteis, CDCA
• Mark C Demetrios, CNP
• Angie Denicholas
• Dennis P Orr II DO LLC
• Dental Express Boardman, Ted a Schuster DDS LLC
• Desai G. Krishna-Rao

• Pediatric Occupational Therapist in Boardman, OH
• Providers in Boardman, OH by specialty
• Pediatric Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.