Active NPI
Kerri Yvonne Demitrovic, P.T.
- Physical Therapist
- Dobbs Ferry, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0242461
- Practice address
- 62 Mohican PK Ave
Dobbs Ferry, NY 10522-2309 - Phone
- (914) 844-7580
- Fax
- (914) 478-3106
- NPI assigned
- Oct 15, 2006
- 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 | 0242461 | NY | Primary |
Addresses
Primary practice location
62 Mohican PK Ave
Dobbs Ferry, NY 10522-2309
Mailing address
62 Mohican PK Ave
Dobbs Ferry, NY 10522-2309
Phone (914) 844-7580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
62 Mohican PK Ave
Dobbs Ferry, NY 10522-2309
Phone (914) 844-7580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2359 | KS | MD | Mental Health Counselor |
| 0242461 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocare Physical Therapy | Current | Accepting new patients | |
| Proactive Physical Therapy & Sports Rehabilitation, PLLC | Current | Accepting new patients | |
| KD Physical Therapy PLLC | Current | Accepting new patients |
Locations
1053 Saw Mill River Rd
Ardsley, NY 10502
Phone (914) 674-0733
1053 Saw Mill River Rd
Ste 105
Ardsley, NY 10502
Phone (914) 693-2350
145 Palisade St
Ste 200
Dobbs Ferry, NY 10522
Phone (484) 680-1355
465 Columbus Ave
Valhalla, NY 10595
Phone (914) 401-8082
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.
-
- Physical Therapy Clinic/Center
- Dobbs Ferry, NY
- NPI 1942578547
-
- Orthopedic Physical Therapist
- Ardsley, NY
- NPI 1720141690
-
- Physical Therapy Clinic/Center
- Valhalla, NY
- NPI 1821125147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1912097296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MOHICAN PK AVE",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105222309",
"telephone_number": "914-844-7580",
"fax_number": "914-478-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 MOHICAN PK AVE",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105222309",
"telephone_number": "914-844-7580",
"fax_number": "914-478-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMITROVIC",
"first_name": "KERRI",
"middle_name": "YVONNE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-15",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0242461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dobbs Ferry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.