Individual provider Active NPI

Michael Scott Demahy, PT

  • Physical Therapist
  • Gulf Breeze, FL
National Provider Identifier
1538349014
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14903 Issued in FL
Practice address
1040 Gulf Breeze Pkwy Ste 101
Gulf Breeze, FL 32561-7808
Phone
(850) 934-2180
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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 14903 FL Primary

Addresses

Primary practice location

1040 Gulf Breeze Pkwy Ste 101
Gulf Breeze, FL 32561-7808

Mailing address

1040 Gulf Breeze Pkwy Ste 101
Gulf Breeze, FL 32561-7808
Phone (850) 934-2180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130423000133 FL Practitioner - Physical Therapist in Private Practice 6002002912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

4406 N Davis Hwy
Pensacola, FL 32503-2756
Phone (850) 435-4800

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14903FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Aug 1, 2022 Accepting new patients
North Florida Surgeons, PA CurrentSince Aug 1, 2022 Accepting new patients
Andrews Institute Rehabilitation, LLC Past Accepting new patients

Locations

73 Eglin Pkwy NE
Fort Walton Beach, FL 32548

5660 Gulf Breeze Pkwy
Ste 1A
Gulf Breeze, FL 32563
Phone (850) 607-3546

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

5750 Berryhill Rd
Milton, FL 32570
Phone (850) 433-6918

1827 Harrison Ave
Panama City, FL 32405
Phone (850) 785-4344

4406 N Davis Hwy
Pensacola, FL 32503
Phone (850) 434-1570

Interoperability endpoints

  • Direct secure messaging: michael.de.mahy.1@9109.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1538349014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PKWY STE 101",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617808",
            "telephone_number": "850-934-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PKWY STE 101",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617808",
            "telephone_number": "850-934-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAHY",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "14903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.

Verify at the official NPI Registry.