Individual provider Active NPI

Sara E Demlow, MT-BC, NMT

  • Music Therapist
  • Roswell, GA
National Provider Identifier
1871277897
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
MUT000248 Issued in GA
Practice address
1001 Macy Dr
Roswell, GA 30076-6335
Phone
(678) 956-0993
NPI assigned
Jun 12, 2023
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X MUT000248 GA Primary

Addresses

Primary practice location

1001 Macy Dr
Roswell, GA 30076-6335

Mailing address

1748 Waterfall Village Dr SE Apt D
Marietta, GA 30067-3828
Phone (678) 857-9874

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
MUT000248GAMDMusic Therapist

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1871277897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 WATERFALL VILLAGE DR SE APT D",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300673828",
            "telephone_number": "678-857-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766335",
            "telephone_number": "678-956-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMLOW",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "MT-BC, NMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "GA",
            "license": "MUT000248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.