NPIMap

Individual provider Active NPI

Michael P Deminski, PT

  • Physical Therapist
  • Malvern, PA
National Provider Identifier
1669419958
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT001125E Issued in PA
Practice address
266 Lancaster Ave
Suite 200
Malvern, PA 19355-3256
Phone
(610) 640-4133
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0000460 DE
Physical Therapist 225100000X PT001125E PA Primary

Addresses

Primary practice location

266 Lancaster Ave
Suite 200
Malvern, PA 19355-3256

Mailing address

266 Lancaster Ave
Suite 200
Malvern, PA 19355-3256
Phone (610) 640-4133

Other identifiers 1

IdentifierTypeStateIssuer
P00170623OtherRAILROAD MEDICARE

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
J1-0000460DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy Physical Therapist Past Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients
Dynamic Therapy Services of Pennsylvania LLC Physical Therapist Past Accepting new patients
Dynamic Therapy Services LLC Physical Therapist Past Accepting new patients

Organizations & group practices 4

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1669419958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-640-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-640-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMINSKI",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0000460",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT001125E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00170623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.