Active NPI
Anne Demerit
- Physical Therapist
- Fenton, MO
National Provider Identifier
1699157354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2004033193
- Practice address
- 1691 San Miguel LN
Fenton, MO 63026-3243 - Phone
- (314) 307-0363
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2004033193 | MO | Primary |
Addresses
Primary practice location
1691 San Miguel LN
Fenton, MO 63026-3243
Mailing address
1691 San Miguel LN
Fenton, MO 63026-3243
Phone (314) 307-0363
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2004033193 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1699157354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 SAN MIGUEL LN",
"city": "FENTON",
"state": "MO",
"postal_code": "630263243",
"telephone_number": "314-307-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1691 SAN MIGUEL LN",
"city": "FENTON",
"state": "MO",
"postal_code": "630263243",
"telephone_number": "314-307-0363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMERIT",
"first_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2004033193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MO
- Adam Decota, D.D.S.
- Jennifer Decota, D.D.S.
- Kelly L Degeare, MSW, LCSW
- Delmar Gardens of Meramec Valley Operating, LLC (Delmar Gardens of Meramec Valley)
- Delta Health
- Stacie D Detmer, FNP
- Samantha Jo Devine, MA, LMFT
- Dierbergs Markets, Incorporated (Dierbergs Fenton Crossing Pharmacy)
- Digital X Mobile, Inc.
- Michelle Dillon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.