Jennifer A Demske, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204041 Issued in VA

Practice address

95-720 Lanikuhana Ave
Suite 140
Mililani, HI 96789-2985

Phone

(808) 623-6244

Fax

(808) 623-6414

NPI assigned

Mar 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bodies in Motion Physical Therapy, LLC

  • Physical Therapist
  • Falls Church, VA
  • NPI 1760437032
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1851351225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "SUITE 140",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-623-6244",
            "fax_number": "808-623-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "SUITE 140",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-623-6244",
            "fax_number": "808-623-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMSKE",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11361275",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Dell, RBT
• Kristel Delos Reyes
• Analyn Delos Santos
• Anisa Kim Delos Santos
• Dianne Delos Santos
• Denise Grayzell Therapy LLC
• Dental Arts LLC (Dental Arts Hawaii)
• Dental Care Centers of Hawaii, Inc. (Gentle Dental (Mililani))
• Mabelle Denuna
• Sandra Deollas

• Physical Therapist in Mililani, HI
• Providers in Mililani, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.