Philip Demase, PT

Individual provider Active NPI Physical Therapist · Somers, NY

NPI 1902814213 · NPPES record last updated May 29, 2008

Key facts

NPI
1902814213
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
008933-1 (NY)
Practice address
293 Route 100
Suite 107
Somers, NY 10589-3213
Phone
(914) 279-2520
Fax
(914) 276-0195
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aon Physical Therapy and Wellness, PLLC (9 clinicians)

Practice addresses (Care Compare)

293 Route 100
Suite 107
Somers, NY 10589-3215
Phone (914) 276-2520

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050324001324 NY Practitioner - Physical Therapist in Private Practice 8729034400 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8933NYMDAddiction (Substance Use Disorder) Counselor
008933-1NYMDOccupational Therapist
008933NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aon Physical Therapy and Wellness, PLLC Physical Therapist Current
since Dec 2, 2011
Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients

Locations

185 Route 312
Ste 301B
Brewster, NY 10509
Phone (845) 279-9288

293 Route 100
Ste 107
Somers, NY 10589
Phone (914) 276-2520

293 Route 100
Ste 1
Somers, NY 10589

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008933-1 NY Yes

Addresses

Primary practice location

293 Route 100
Suite 107
Somers, NY 10589-3213

Mailing address

3081 Chen CT
Yorktown Heights, NY 10598-1972
Phone (914) 299-4976

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 29, 2008.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1902814213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 CHEN CT",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981972",
            "telephone_number": "914-299-4976",
            "fax_number": "914-276-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 ROUTE 100",
            "address_2": "SUITE 107",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893213",
            "telephone_number": "914-279-2520",
            "fax_number": "914-276-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMASE",
        "first_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008933-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, NY

All providers in Somers, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.