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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050324001324 | NY | Practitioner - Physical Therapist in Private Practice | 8729034400 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8933 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 008933-1 | NY | MD | Occupational Therapist |
| 008933 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aon Physical Therapy and Wellness, PLLC | Physical Therapist | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- CVS Albany, L.L.C.
- Amashika Dacosta
- Debra Lynch Otr/L PC
- Joseph Delgiorno
- Melissa Jean Demarco
- Philip Giovanni Demase
- Leslie Karen Deutsch
- Danielle Dicarlo
- Tricia L. Difate-Nicastro
- Christopher M Dingler
All providers in Somers, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.