Active NPI
Susan Marie Demas, P.T.
- Physical Therapist
- Manlius, NY
National Provider Identifier
1285187138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8655
- Practice address
- 8427 Woodbox Rd
Manlius, NY 13104-9416 - Phone
- (315) 345-8652
- NPI assigned
- Jul 27, 2016
- Last updated
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8655 | NY | Primary |
Addresses
Primary practice location
8427 Woodbox Rd
Manlius, NY 13104-9416
Mailing address
8427 Woodbox Rd
Manlius, NY 13104-9416
Phone (315) 345-8652
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8655 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1285187138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8427 WOODBOX RD",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131049416",
"telephone_number": "315-345-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8427 WOODBOX RD",
"city": "MANLIUS",
"state": "NY",
"postal_code": "131049416",
"telephone_number": "315-345-8652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMAS",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "8655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manlius, NY
- Elizabeth Anne Cunningham, M.A. CCC-SLP
- Brytney Valentine Custer, PTA
- CVS Albany, LLC (CVS Pharmacy #07617)
- D.G. Baker Mental Health Counseling Services, PLLC
- Stacy Marie Davison, LCSW
- Department of Medicine MSG (Manlius)
- Melissa Desmond
- Desta Anthony Mobile NP Adult Health, PLLC
- Neiha Dhar, MS, LMFT
- Charles Dicosimo III, DMD, MSD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.