Individual provider Active NPI

Sandra Demeis

  • Physical Therapist
  • Newport, NH
National Provider Identifier
1295709301
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1235 Issued in NH
Practice address
23 Main St
Newport, NH 03773-1504
Phone
(603) 863-3260
Fax
(603) 863-3291
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1235 NH Primary

Addresses

Primary practice location

23 Main St
Newport, NH 03773-1504

Mailing address

360 Sunapee St
Unit One
Newport, NH 03773-5412
Phone (603) 863-3260

Other identifiers 2

IdentifierTypeStateIssuer
0805563Y0NH01OtherNHANTHEM
30010225MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000256 NH Practitioner - Physical Therapist in Private Practice 3375510050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Physical Therapy, LLCGroup PAC ID 5294702965, 3 clinicians

Practice addresses (Care Compare)

23 Main St
Newport, NH 03773-1504
Phone (603) 863-3260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Physical Therapy, LLC Physical Therapist CurrentSince May 10, 1997 Accepting new patients

Locations

360 Sunapee St
Unit One
Newport, NH 03773
Phone (603) 863-3260

23 Main St
Newport, NH 03773
Phone (603) 863-3260

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1295709301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SUNAPEE ST",
            "address_2": "UNIT ONE",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037735412",
            "telephone_number": "603-863-3260",
            "fax_number": "603-863-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037731504",
            "telephone_number": "603-863-3260",
            "fax_number": "603-863-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEIS",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0805563Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010225",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.