Jeremy Walter Deramus, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT003000 Issued in GA

Practice address

3161 Howell Mill Rd NW
Suite 410
Atlanta, GA 30327-2102

Phone

(404) 352-4200

NPI assigned

Feb 22, 2008

Last updated

Feb 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine Center Atlanta Rehabilitation & Wellness Center, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1487838900
  NPD (past)

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1558530766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 ASHMORE CIR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300661613",
            "telephone_number": "770-928-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 HOWELL MILL RD NW",
            "address_2": "SUITE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272102",
            "telephone_number": "404-352-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAMUS",
        "first_name": "JEREMY",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT003000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dependable Health Care Solutions, LLC
• Rebekka Elizabeth-Marie Depew, MD
• John Deppe
• Ashley Depriest, MS, RD, LD
• Angela Deraad
• Jacquelyne Deras de Guillen
• Brian Derby, M.D.
• Richard S Derby, LPC
• Stephanie Deren
• Terry Derias, MD

• Massage Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.