Joshua Paul Demery, PT, DPT
Individual provider Active NPI Physical Therapist · Torrance, CA
NPI 1609403245 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1609403245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 296250 (CA)
- Practice address
- 2355 Crenshaw Blvd Ste 130
Torrance, CA 90501-3329 - Phone
- (310) 870-3332
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Redondo Orthopedic Physical Therapy
Practice addresses (Care Compare)
520 N Prospect Ave
Suite 100
Redondo Beach, CA 90277-3033
Phone (310) 376-9222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200713000140 | CA | Practitioner - Physical Therapist in Private Practice | 4789007519 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296250 | CA | MD | Physical Therapist |
| 10126 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosport Physical Therapy Professionals Inc | Physical Therapist | Current |
Accepting new patients |
| Redondo Orthopedic Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Prosport Physical Therapy Professionals Inc | Physical Therapist | Current | Accepting new patients |
| Prosport Physical Therapy Professionals Inc | Physical Therapist | Current |
Accepting new patients |
| Carnahan Therapy the Work Center, Inc. | Past |
Accepting new patients |
Locations
559 E Carson St
Ste B
Carson, CA 90745
Phone (424) 201-5242
26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999
5601 W Slauson Ave
Ste 125
Los Angeles, CA 90230
Phone (310) 912-7442
31244 Palos Verdes Dr W
Ste 209
Rancho Palos Verdes, CA 90275
Phone (310) 544-7325
520 N Prospect Ave
Ste 100
Redondo Beach, CA 90277
Phone (310) 376-9222
2355 Crenshaw Blvd
Ste 130
Torrance, CA 90501
Phone (310) 870-3332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10126 | SC | |
| Physical Therapist | 225100000X | 296250 | CA | Yes |
Addresses
Primary practice location
2355 Crenshaw Blvd Ste 130
Torrance, CA 90501-3329
Mailing address
2355 Crenshaw Blvd Ste 130
Torrance, CA 90501-3329
Phone (310) 870-3332
NPI Registry JSON
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1609403245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 CRENSHAW BLVD STE 130",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905013329",
"telephone_number": "310-870-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 CRENSHAW BLVD STE 130",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905013329",
"telephone_number": "310-870-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMERY",
"first_name": "JOSHUA",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "10126",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
- Nina Delos Santos
- Brian Delue
- Michele Delvicario
- Abriella Demanes
- Augustus Demanes
- Jeffrey Demian
- Phyllis L. Demonte-Barnes
- Janice Demore
- Evelyn Denebeim
- Frank Deng
All providers in Torrance, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.