Active NPI
Patrick H. Demoss, P.T.
- Physical Therapist
- Lakeland, FL
National Provider Identifier
1972707149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT31383
- Practice address
- 1583 Royal Forest CT
Lakeland, FL 33811-3124 - Phone
- (719) 761-8393
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PT31383 | FL | Primary |
Addresses
Primary practice location
1583 Royal Forest CT
Lakeland, FL 33811-3124
Mailing address
1583 Royal Forest CT
Lakeland, FL 33811-3124
Phone (719) 761-8393
Other practice location 1
1330 Quail Lake Loop
Ste 100
Colorado Springs, CO 80906-4651
Phone (719) 579-0230
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT31383 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1972707149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1583 ROYAL FOREST CT",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338113124",
"telephone_number": "719-761-8393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1583 ROYAL FOREST CT",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338113124",
"telephone_number": "719-761-8393"
}
],
"practiceLocations": [
{
"address_1": "1330 Quail Lake Loop",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809064651",
"country_code": "US",
"telephone_number": "719-579-0230",
"fax_number": "719-579-0277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMOSS",
"first_name": "PATRICK",
"middle_name": "H.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT31383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.