Active NPI
Jennifer C Demarco, PT
- Physical Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19793
- Practice address
- 1800 Sir Tyler Dr Ste 100
Wilmington, NC 28405-8305 - Phone
- (910) 782-2150
- Fax
- (773) 774-4527
- NPI assigned
- Sep 18, 2015
- 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 | P19793 | NC | Primary |
Addresses
Primary practice location
1800 Sir Tyler Dr Ste 100
Wilmington, NC 28405-8305
Mailing address
1800 Sir Tyler Dr Ste 100
Wilmington, NC 28405-8305
Phone (910) 782-2150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- New York Medical College, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Martin Pkwy
Commerce Township, MI 48390-1295
Phone (248) 716-0937
340 W 40TH St
Holland, MI 49423-4600
Phone (616) 276-4077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19793 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aim Advance in Motion LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
1800 Sir Tyler Dr
Ste 100
Wilmington, NC 28405
Phone (434) 250-6205
Interoperability endpoints
- jennifer.demarco.p4@direct.athleticoltd.nextgenshare.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Holland, MI
- NPI 1548865876
Physical Therapist
-
- Physical Therapist
- Wilmington, NC
- NPI 1427780840
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1437528544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 SIR TYLER DR STE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284058305",
"telephone_number": "910-782-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SIR TYLER DR STE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284058305",
"telephone_number": "910-782-2150",
"fax_number": "773-774-4527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.