Individual provider Active NPI

Victor Salinas

  • Physical Therapist
  • South Bend, IN
National Provider Identifier
1053176743
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05003537A Issued in IN
Practice address
3510 Portage Rd Ste a
South Bend, IN 46628-6091
Phone
(574) 203-9527
NPI assigned
Feb 21, 2024
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP025409T SC
Physical Therapist 225100000X CP042115T MO
Physical Therapist 225100000X 070.005709 IL
Physical Therapist 225100000X 05003537A IN Primary

Addresses

Primary practice location

3510 Portage Rd Ste a
South Bend, IN 46628-6091

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

9445 Indianapolis Blvd # 1220
Highland, IN 46322-2648
Phone (708) 516-4913

Other practice location 2

506 E. Southway Blvd
Kokomo, IN 46902
Phone (765) 626-0299

Other practice location 3

9760 N Ash Ave
Kansas City, MO 64157-9742
Phone (816) 792-0603

Other practice location 4

3386 Yampa St
Sumter, SC 29150-2045
Phone (803) 233-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, SC, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240624000924 IN Practitioner - Physical Therapist in Private Practice 4183167703 Reassigns benefits to 1 organization
I20250123003907 SC Practitioner - Physical Therapist in Private Practice 4183167703 Reassigns benefits to 3 organizations
I20250326002899 MO Practitioner - Physical Therapist in Private Practice 4183167703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

506 E Southway Blvd
Kokomo, IN 46902-3820
Phone (765) 626-0299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.005709ILMDPhysical Therapist
05003537AINMDPhysical Therapist
CP042115TMOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

506 E Southway Blvd
Kokomo, IN 46902
Phone (765) 626-0299

3510 Portage Rd
#A
South Bend, IN 46628
Phone (574) 203-9527

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

9760 N Ash Ave
Kansas City, MO 64157
Phone (816) 792-0775

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

3386 Yampa St
Sumter, SC 29150
Phone (803) 233-4505

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1053176743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 PORTAGE RD STE A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286091",
            "telephone_number": "574-203-9527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9445 Indianapolis Blvd # 1220",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463222648",
            "country_code": "US",
            "telephone_number": "708-516-4913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 E. Southway Blvd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "46902",
            "country_code": "US",
            "telephone_number": "765-626-0299",
            "fax_number": "765-864-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9760 N Ash Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641579742",
            "country_code": "US",
            "telephone_number": "816-792-0603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3386 Yampa St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291502045",
            "country_code": "US",
            "telephone_number": "803-233-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALINAS",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP025409T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "CP042115T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.005709",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003537A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.