Individual provider Active NPI

Dejae' Stanton, PT, DPT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1013723634
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033257 Issued in PA
Practice address
5930 Old French Rd
Erie, PA 16509-3656
Phone
(814) 860-7816
NPI assigned
Dec 9, 2024
Reactivated
Jul 23, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TPT023900 PA
Physical Therapist 225100000X PT033257 PA Primary

Addresses

Primary practice location

5930 Old French Rd
Erie, PA 16509-3656

Mailing address

5930 Old French Rd
Erie, PA 16509-3656

Other practice location 1

4630 Buffalo Rd
Erie, PA 16510-2207
Phone (814) 899-0420

Other practice location 2

3338 State Route 257
Seneca, PA 16346-2534
Phone (814) 677-0738

Other practice location 3

210 S Perry St Ste A
Titusville, PA 16354-1684
Phone (814) 827-0332

Other practice location 4

200 W Plum St
Edinboro, PA 16412-2121
Phone (814) 734-1601

Other practice location 5

316 Allegheny Blvd Ste B
Franklin, PA 16323-6208
Phone (814) 432-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT033257PAMDPhysical Therapist
TPT023900PAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1013723634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 OLD FRENCH RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 OLD FRENCH RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093656",
            "telephone_number": "814-860-7816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4630 Buffalo Rd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165102207",
            "country_code": "US",
            "telephone_number": "814-899-0420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3338 State Route 257",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "PA",
            "postal_code": "163462534",
            "country_code": "US",
            "telephone_number": "814-677-0738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 S Perry St Ste A",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541684",
            "country_code": "US",
            "telephone_number": "814-827-0332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Plum St",
            "address_purpose": "LOCATION",
            "city": "Edinboro",
            "state": "PA",
            "postal_code": "164122121",
            "country_code": "US",
            "telephone_number": "814-734-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Allegheny Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "PA",
            "postal_code": "163236208",
            "country_code": "US",
            "telephone_number": "814-432-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "DEJAE'",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "deactivation_date": "2024-12-10",
        "reactivation_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TPT023900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.