Individual provider Active NPI

Kathleen Rose Salik, PT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1063910032
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5605 W Eugie Ave
Glendale, AZ 85304-1272
Phone
(160) 286-5583
Fax
(602) 865-5830
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 001551 AZ
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5605 W Eugie Ave
Glendale, AZ 85304-1272

Mailing address

7156 W Surrey Ave
Peoria, AZ 85381-6003
Phone (602) 478-4119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180308000894 AZ Practitioner - Physical Therapist in Private Practice 6800157876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001551AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Multi-Specialty Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

Locations (25 of 40)

13055 W McDowell Rd
Ste G107
Avondale, AZ 85392
Phone (623) 547-4787

10750 W McDowell Rd
Ste B210
Avondale, AZ 85392
Phone (623) 907-0746

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

4015 S Arizona Ave
Ste C2
Chandler, AZ 85248
Phone (480) 426-8019

2055 W Frye Rd
Ste 2
Chandler, AZ 85224
Phone (480) 821-9840

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

3507 S Mercy Rd
Ste 105
Gilbert, AZ 85297
Phone (480) 926-0404

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

4344 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 548-0228

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456

2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212
Phone (480) 326-3922

5151 E Broadway Rd
Ste 102
Mesa, AZ 85206
Phone (480) 396-9922

126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907

9401 W Thunderbird Rd
Ste 190
Peoria, AZ 85381
Phone (623) 977-5451

4045 E Bell Rd
Ste 150
Phoenix, AZ 85032
Phone (602) 992-8352

14001 N 7th St
Ste A102
Phoenix, AZ 85022
Phone (602) 548-5445

2400 W Dunlap Ave
Ste 145
Phoenix, AZ 85021
Phone (602) 870-1414

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1063910032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7156 W SURREY AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816003",
            "telephone_number": "602-478-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041272",
            "telephone_number": "160-286-5583",
            "fax_number": "602-865-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIK",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "001551",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.