Individual provider Active NPI

Susana Delgado Demore, PT, DPT

  • Physical Therapist
  • Spring, TX
National Provider Identifier
1508116625
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1180530 Issued in TX
Practice address
6600 Spring Stuebner Rd Ste 165
Spring, TX 77389-5285
Phone
(832) 430-4895
Fax
(832) 602-2649
NPI assigned
Sep 17, 2012
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1180530 TX Primary
Sports Physical Therapist 2251S0007X 1180530 TX
Orthopedic Physical Therapist 2251X0800X 1180530 TX

Addresses

Primary practice location

6600 Spring Stuebner Rd Ste 165
Spring, TX 77389-5285

Mailing address

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (385) 308-8034

Other practice location 1

1300 W Sam Houston Pkwy S Ste 300
Houston, TX 77042-2453
Phone (713) 766-6958

Other practice location 2

6600 Spring Stuebner Rd Ste 165
Spring, TX 77389-5285
Phone (832) 430-4895

Other practice location 3

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (385) 308-8034

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
1180530TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Care Specialists LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Agilitas USA, Inc. PastSince Jan 1, 2020 Accepting new patients

Locations

1500 Jackson St
Ste 400
Richmond, TX 77469
Phone (281) 344-8900

26440 FM 1093 Rd
Ste A180
Richmond, TX 77406
Phone (281) 344-8900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1508116625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E WADSWORTH PARK DR STE 230",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208096",
            "telephone_number": "385-308-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 SPRING STUEBNER RD STE 165",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895285",
            "telephone_number": "832-430-4895",
            "fax_number": "832-602-2649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 W Sam Houston Pkwy S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770422453",
            "country_code": "US",
            "telephone_number": "713-766-6958",
            "fax_number": "615-221-9054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Spring Stuebner Rd Ste 165",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773895285",
            "country_code": "US",
            "telephone_number": "832-430-4895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 E Wadsworth Park Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840208096",
            "country_code": "US",
            "telephone_number": "385-308-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMORE",
        "first_name": "SUSANA",
        "middle_name": "DELGADO",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1180530",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1180530",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1180530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.