Individual provider Active NPI

Savannah Meyers

  • Physical Therapist
  • Depew, NY
National Provider Identifier
1609659028
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050786 Issued in NY
Practice address
1780 Como Park Blvd
Depew, NY 14043-4535
Phone
(716) 686-5006
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 050786 NY Primary

Addresses

Primary practice location

1780 Como Park Blvd
Depew, NY 14043-4535

Mailing address

136 Broad St
Cheektowaga, NY 14225-3505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520000863 NY Practitioner - Physical Therapist in Private Practice 7517308703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire of Western New York IncGroup PAC ID 6507759230, 26 clinicians

Practice addresses (Care Compare)

30 Wilson Rd
Williamsville, NY 14221-7026
Phone (716) 529-3087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050786NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Orthopaedics, LLP CurrentSince Jun 24, 2024 Accepting new patients
Excelsior Orthopaedics LLP Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients
Aspire of Western New York Inc. CurrentSince Feb 17, 2025 Accepting new patients

Locations

2643 Main St
Buffalo, NY 14214
Phone (716) 529-3087

3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500

7 Community Dr
Cheektowaga, NY 14225
Phone (716) 505-5630

2356 N Forest Rd
Getzville, NY 14068
Phone (716) 505-5560

30 Wilson Rd
Williamsville, NY 14221
Phone (716) 529-3087

Interoperability endpoints

  • Direct secure messaging: smeyers@excelsiorortho.medentdirect.com

Organizations & group practices 3

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1609659028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BROAD ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 COMO PARK BLVD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434535",
            "telephone_number": "716-686-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "SAVANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.