Healthcare Provider Details

I. General information

NPI: 1467866640
Provider Name (Legal Business Name): NATHAN JOSHUA DEMING DPT, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2014
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 W PERIMETER RD
JB ANDREWS MD
20762-6602
US

IV. Provider business mailing address

4102 PINION DR
USAF ACADEMY CO
80840-2502
US

V. Phone/Fax

Practice location:
  • Phone: 989-529-1233
  • Fax:
Mailing address:
  • Phone: 719-333-5055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number014853
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: