Jennifer Lee Salmon, PTA,ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096002030 Issued in IL

Practice address

107 Tremont St
Hopedale, IL 61747-7525

Phone

(309) 449-4501

NPI assigned

Jul 2, 2012

Last updated

Jul 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1073877361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617477525",
            "telephone_number": "309-449-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TREMONT ST",
            "city": "HOPEDALE",
            "state": "IL",
            "postal_code": "617477525",
            "telephone_number": "309-449-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PTA,ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A02495",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096002030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence J Rossi Jr., M.D.
• Matthew Brandl Rossi, MD
• Nicholas Brandl Rossi, MD
• Phillip Joseph Rossi, MD
• Witold Rybicki, MD
• Linda Schafrik
• Smalltown Dental Hopedale
• Sunday Eye Care LLC (Sunday Eye Care)
• James William Sunday, O.D.
• Tri County Anesthesia S.C.

• Athletic Trainer in Hopedale, IL
• Providers in Hopedale, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.