Active NPI
Demetria James, PT
- Physical Therapist
- Windsor Mill, MD
National Provider Identifier
1770762924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18593
- Practice address
- 3664 Clifmar Rd
Windsor Mill, MD 21244 - Phone
- (410) 496-1876
- NPI assigned
- Oct 24, 2007
- Last updated
- Oct 24, 2007
- 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 | 18593 | MD | Primary |
Addresses
Primary practice location
3664 Clifmar Rd
Windsor Mill, MD 21244
Mailing address
3664 Clifmar Rd
Windsor Mill, MD 21244
Phone (410) 496-1876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18593 | MD | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1770762924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3664 CLIFMAR RD",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "21244",
"telephone_number": "410-496-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3664 CLIFMAR RD",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "21244",
"telephone_number": "410-496-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "DEMETRIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.