Individual provider · Type 1 NPI

Theressa Demostene

Physical Therapy Assistant · St. Johns, FL

NPI number 1093672347 Active

Practice location

2430 County Road 210 W Ste B
St. Johns, FL 32259-2451

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA26396 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1093672347

Theressa Demostene's National Provider Identifier is 1093672347, issued on Jan 8, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Johns, FL. The record was last updated on Jan 8, 2026.