Active NPI
Elizabeth Demers, PT
- Physical Therapist
- Pawtucket, RI
National Provider Identifier
1750392148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00502
- Practice address
- 407 East Ave Ste 150
Pawtucket, RI 02860-5299 - Phone
- (401) 722-2225
- Fax
- (401) 722-2235
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PT00502 | RI | Primary |
Addresses
Primary practice location
407 East Ave Ste 150
Pawtucket, RI 02860-5299
Mailing address
407 East Ave Ste 150
Pawtucket, RI 02860-5299
Phone (401) 722-2225
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06400314 | Other | RI | UNITED HEALTHCARE |
| 407232 | Other | RI | RHODE ISLAND BLUECHIP |
| 22169 | Other | RI | RHODE ISLAND BLUE CROSS |
| 050498997 | Other | RI | TRICARE |
| 2499568 | Other | RI | AETNA US HEALTHCARE |
| 4259 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 610805800 | Other | RI | FEDERAL WORKERS COMPENSAT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1750392148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 EAST AVE STE 150",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605299",
"telephone_number": "401-722-2225",
"fax_number": "401-722-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 EAST AVE STE 150",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605299",
"telephone_number": "401-722-2225",
"fax_number": "401-722-2235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMERS",
"first_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT00502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "06400314",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RHODE ISLAND BLUECHIP",
"identifier": "407232",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RHODE ISLAND BLUE CROSS",
"identifier": "22169",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "050498997",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "2499568",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "4259",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORKERS COMPENSAT",
"identifier": "610805800",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.