Individual provider Active NPI

Eric Anderson Dempster, P.T.A

  • Physical Therapy Assistant
  • Winchester, VA
National Provider Identifier
1689796336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306601879 Issued in VA
Practice address
607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone
(540) 536-2328
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306601879 VA Primary

Addresses

Primary practice location

607 E Jubal Early Dr
Winchester, VA 22601-5178

Mailing address

505 W Cork St
Winchester, VA 22601-3814
Phone (540) 336-5022

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306601879VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689796336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W CORK ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013814",
            "telephone_number": "540-336-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E JUBAL EARLY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015178",
            "telephone_number": "540-536-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSTER",
        "first_name": "ERIC",
        "middle_name": "ANDERSON",
        "name_prefix": "Mr.",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.