Active NPI
Joise Salgado, O.T.
- Occupational Therapist
- Fairfax, VA
National Provider Identifier
1063763514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119002202
- Practice address
- 12153 Penderview LN
#2021
Fairfax, VA 22033-4758 - Phone
- (540) 273-8829
- NPI assigned
- Sep 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119002202 | VA | Primary |
Addresses
Primary practice location
12153 Penderview LN
#2021
Fairfax, VA 22033-4758
Mailing address
12153 Penderview LN
#2021
Fairfax, VA 22033-4758
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1063763514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12153 PENDERVIEW LN",
"address_2": "#2021",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220334758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12153 PENDERVIEW LN",
"address_2": "#2021",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220334758",
"telephone_number": "540-273-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALGADO",
"first_name": "JOISE",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119002202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.