Savannah Rae Powers, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22951 Issued in NC

Practice address

167 Gateway Blvd
Mooresville, NC 28117-5540

Phone

(704) 658-1095

Fax

(704) 658-1097

NPI assigned

Feb 9, 2024

Last updated

Feb 9, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Taylor Rehab Inc

  • Physical Therapist
  • Mooresville, NC
  • NPI 1215977160
  NPD
• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1801650981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WELTON WAY STE B",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179251",
            "telephone_number": "704-660-6551",
            "fax_number": "704-660-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 GATEWAY BLVD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175540",
            "telephone_number": "704-658-1095",
            "fax_number": "704-658-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "SAVANNAH",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Jefferson Poore Jr., DMD
• Deborah Popolizio, RD
• Ashley Port, LCMHCA
• Sade' Potter, LCSW-A
• Stephanie Powell, LCMHC
• Judith Prairie, MD
• Marlee Tubby Prather, LCSWA
• Cilla Dora Prato
• Premier Bracing, LLC
• Premier Med Supply

• Physical Therapist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.