Individual provider Active NPI

Salonee Jain

  • Physical Therapist
  • Palo Alto, CA
National Provider Identifier
1093258139
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26001 Issued in MD
Practice address
620 Sand Hill Rd
Palo Alto, CA 94304-2002
Phone
(888) 926-1850
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26001 MD Primary
Geriatric Physical Therapist 2251G0304X PT295884 CA

Addresses

Primary practice location

620 Sand Hill Rd
Palo Alto, CA 94304-2002

Mailing address

718 Old San Francisco Rd Apt 379
Sunnyvale, CA 94086-8027
Phone (716) 489-0088

Other practice location 1

4011 Randolph Rd
Silver Spring, MD 20902-1054
Phone (301) 933-2500

Other identifiers 2

IdentifierTypeStateIssuer
4374045-00MedicaidMD
1447657507OtherMDNPI TYPE 2/ ORGANIZATION

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26001MDMDPhysical Therapist
PT295884CAMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1093258139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 OLD SAN FRANCISCO RD APT 379",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940868027",
            "telephone_number": "716-489-0088",
            "fax_number": "877-828-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SAND HILL RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042002",
            "telephone_number": "888-926-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 Randolph Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209021054",
            "country_code": "US",
            "telephone_number": "301-933-2500",
            "fax_number": "877-828-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SALONEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26001",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT295884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4374045-00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2/ ORGANIZATION",
            "identifier": "1447657507",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.