Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nicholas James Demetros III, OTR/L

Individual provider Occupational Therapist · NPI 1710551221

Mr. Nicholas James Demetros III, OTR/L is an Occupational Therapist in Springfield, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

719 S Main St
Springfield, TN 37172-2809
Phone: (615) 714-0616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1710551221
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

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