Active NPI
Elizabeth Elodie Demarse, PT, DPT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1811582992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2296
- Practice address
- 1725 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6507 - Phone
- (239) 410-1030
- NPI assigned
- Mar 1, 2021
- 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 | PT2296 | FL | Primary |
Addresses
Primary practice location
1725 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6507
Mailing address
3012 W Barcelona St Unit 9
Tampa, FL 33629-7265
Phone (239) 410-1030
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT2296 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1811582992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 W BARCELONA ST UNIT 9",
"city": "TAMPA",
"state": "FL",
"postal_code": "336297265",
"telephone_number": "239-410-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076507",
"telephone_number": "239-410-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARSE",
"first_name": "ELIZABETH",
"middle_name": "ELODIE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT2296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.