Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Demarcus Douglas

Individual provider Physical Therapist · NPI 1407679616

Demarcus Douglas is a Physical Therapist in Private Practice in Brownsville, Tennessee. Qualified in 2023, 3 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024

Practice location Address checks out

1169 S Dupree Ave
Brownsville, TN 38012-3260
Phone: (731) 780-3011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15229

Record details

NPI number1407679616
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 5, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address1950 Highway 138, Mercer, TN 38392-7330

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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