Organization Active NPI

Aeris Performance Concepts, LLC

  • Physical Therapist
  • Pinehurst, NC
National Provider Identifier
1700618782
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AERIS PERFORMANCE CONCEPTS, LLC
Practice address
315 Rose Dale CT
Pinehurst, NC 28374-6601
Phone
(915) 342-7113
NPI assigned
Aug 17, 2024
Last updated
Jul 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2025

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

Authorized official

Name
Dr. Scott Christopher Dembowski, PT, DSC, OCS, SCSNPI 1548242126
Title
Director of Physical Therapy
Phone
(915) 342-7113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU
Point of Service 305S00000X NU

Addresses

Primary practice location

315 Rose Dale CT
Pinehurst, NC 28374-6601

Mailing address

315 Rose Dale CT
Pinehurst, NC 28374-6601
Phone (915) 342-7113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260306000878 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638651748 Receives reassigned benefits from 1 practitioner
Practice locations: Pinehurst, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752969600000",
    "number": "1700618782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ROSE DALE CT",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283746601",
            "telephone_number": "915-342-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ROSE DALE CT",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283746601",
            "telephone_number": "915-342-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERIS PERFORMANCE CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-17",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A",
        "authorized_official_last_name": "DEMBOWSKI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "915-342-7113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DSC, OCS, SCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.