Individual provider Active NPI

Alexandra S Demers, DPT

  • Physical Therapist
  • Winter Park, FL
National Provider Identifier
1801183389
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35155 Issued in FL
Practice address
1290 Palmetto Ave
Winter Park, FL 32789-4950
Phone
(407) 801-2928
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13617 NC
Physical Therapist 225100000X 23707 MD
Physical Therapist 225100000X PT35155 FL Primary

Addresses

Primary practice location

1290 Palmetto Ave
Winter Park, FL 32789-4950

Mailing address

1290 Palmetto Ave
Winter Park, FL 32789-4950
Phone (407) 801-2928

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

State licenses

LicenseStateTypeSpecialty
23707MDMDClinical Social Worker
PT35155FLMDPhysical Therapist
13617NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Pelvic Physical Therapy Current Accepting new patients
Avila Physical Therapy for Women's Health Inc. Physical Therapist CurrentSince Nov 26, 2012 Accepting new patients
Avila Physical Therapy for Womens Health PastSince Nov 26, 2012 Accepting new patients

Locations

308 Greenville Blvd SE
Ste B1
Greenville, NC 27858
Phone (252) 215-5225

308 Greenville Blvd SE
Ste B3
Greenville, NC 27858
Phone (252) 215-5225

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1801183389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 PALMETTO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894950",
            "telephone_number": "407-801-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 PALMETTO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894950",
            "telephone_number": "407-801-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERS",
        "first_name": "ALEXANDRA",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13617",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23707",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.