Sandra Davis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006279 Issued in GA

Practice address

4425A Paulsen St FL 2
Savannah, GA 31405-3637

Phone

(912) 354-5100

Fax

(912) 354-5300

NPI assigned

May 5, 2006

Last updated

Apr 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Sandra Shea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Screven County Family Health Center, LLC

  dba Optim Primary Care - Sylvania

  • Rural Health Clinic/Center
  • Sylvania, GA
  • NPI 1841432044
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1285682765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425A PAULSEN ST FL 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053637",
            "telephone_number": "912-354-5100",
            "fax_number": "912-354-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425A PAULSEN ST FL 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053637",
            "telephone_number": "912-354-5100",
            "fax_number": "912-354-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Towne Park Dr W Ste 303-304",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265182",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 Gandy Dancer",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313248895",
            "country_code": "US",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238145789A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SHEA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela C Davis, LMT
• Reginald M Davis Jr., MD
• Sabia C Davis
• Samantha Lynn Davis, NP
• Samantha Shanta Davis, MA,CNA,CMA
• T'Naiya Davis
• Tonya Davis
• Elliott Dawkins
• Xioamari Dawson
• Day Chiropractic and Massage Therapy, P.C.

• Physical Therapist in Savannah, GA
• Providers in Savannah, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.