Individual provider Active NPI

Jazel Mayen Salas, OTR/L, CAPS, CDP

  • Occupational Therapist
  • Scotch Plains, NJ
National Provider Identifier
1013396332
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
117420 Issued in TX
Practice address
527 Hunter Ave
Scotch Plains, NJ 07076-0707
Phone
(443) 714-9493
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07203 MD
Occupational Therapist 225X00000X 117420 TX Primary

Addresses

Primary practice location

527 Hunter Ave
Scotch Plains, NJ 07076-0707

Mailing address

1812 Front St
Scotch Plains, NJ 07076-1103

Other practice location 1

12124 High Tech Ave
Suite 300
Orlando, FL 32817-8373
Phone (800) 774-7785

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ajsalastherapeutics.theraplatform.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
117420TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1013396332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 FRONT ST",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 HUNTER AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070760707",
            "telephone_number": "443-714-9493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12124 High Tech Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328178373",
            "country_code": "US",
            "telephone_number": "800-774-7785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAS",
        "first_name": "JAZEL MAYEN",
        "credential": "OTR/L, CAPS, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07203",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ajsalastherapeutics.theraplatform.com",
            "affiliation": "N",
            "address_1": "527 Hunter Ave",
            "city": "Scotch Plains",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070760707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

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