Active NPI
Summit Medical Rehabilitation PC
- Physical Medicine & Rehabilitation Physician
- Johnstown, PA
National Provider Identifier
1740298447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- SUMMIT MEDICAL REHABILITATION PC
- Practice address
- 360 Goucher St
Johnstown, PA 15905-3400 - Phone
- (814) 288-4448
- Fax
- (814) 288-4477
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William M Demayo, MD
- Title
- President
- Phone
- (814) 288-4448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
360 Goucher St
Johnstown, PA 15905-3400
Mailing address
360 Goucher St
Johnstown, PA 15905-3400
Phone (814) 288-4448
National Provider Directory
National Provider DirectoryLocations
360 Goucher St
#M
Johnstown, PA 15905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740298447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 GOUCHER ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159053400",
"telephone_number": "814-288-4448",
"fax_number": "814-288-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 GOUCHER ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159053400",
"telephone_number": "814-288-4448",
"fax_number": "814-288-4477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MEDICAL REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEMAYO",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-288-4448",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.