Individual provider Active NPI

Savannah Rose Demayo, PT, DPT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1386172286
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026007 Issued in PA
Practice address
100 Barber PL
Erie, PA 16507-1863
Phone
(814) 871-5671
Fax
(814) 455-1132
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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 2305211095 VA
Physical Therapist 225100000X PT026007 PA Primary

Addresses

Primary practice location

100 Barber PL
Erie, PA 16507-1863

Mailing address

455 Glenwood Blvd
Erie, PA 16509-1662
Phone (724) 771-8944

Other names 1

  • Miss Savannah Rose Bubin Former name

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
PT026007PAMDPhysical Therapist
2305211095VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gertrude a Barber Center Inc Physical Therapist PastSince Jul 1, 2004 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/barberinstitute/r4/

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1386172286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 GLENWOOD BLVD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091662",
            "telephone_number": "724-771-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BARBER PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071863",
            "telephone_number": "814-871-5671",
            "fax_number": "814-455-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAYO",
        "first_name": "SAVANNAH",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211095",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "BUBIN",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 28, 2022; 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.