KELLY A DEMMONS – Physical Therapist, NPI 1912099268

Physical Therapist

KELLY A DEMMONS is a healthcare provider. based in Bangor, Maine. specializing in Physical Therapist. They hold a License No. PT721 (ME). The NPI Number for KELLY A DEMMONS is 1912099268

Main info

Female

41 Years Of Experience

Accepts Medicare Assignment

Name

KELLY A DEMMONS

NPI

1912099268

Phone

(207) 942-7650

Address

PO BOX 921

Enumeration Date

28 September 2006

Last Update Date

21 January 2009

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2078623906

Graduation Year

1985 (41 years ago)

PAC ID

3375541030

Group Practice PAC ID

5890697049

Professional Enrollment ID

I20061114000138

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY A DEMMONS

921, Fuller Road, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044020921
Phone: (207) 942-7650
Fax: (207) 990-5586
Type: Mailing
133, Corporate Drive, Bangor, Penobscot County, Maine, 04401, United States
SUITE 2
BANGOR, ME 044014312
Phone: (207) 992-9286
Fax: (207) 992-9287
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04402)

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Provider's Procedures

KELLY A DEMMONS performs procedures in Physical Therapist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PHYSICAL THERAPY	ME	97001	Physical therapy evaluation	38	34
PHYSICAL THERAPY	ME	97140	Manual (physical) therapy techniques to 1 or more regions, each 15 minutes	1489	40

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5890697049View full group profile