Marcues Reshay Sallie

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PT32708 Issued in FL

Practice address

330 Avenue C SE
Winter Haven, FL 33880-3243

Phone

(863) 268-2903

NPI assigned

Jun 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Language & Literacy Academy for Learning, Inc

  • Local Education Agency (LEA)
  • Winter Haven, FL
  • NPI 1023512738

  Physical Therapy Assistant

  NPD (past)
• University Community Hospital, Inc

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1053321919
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1144062183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 STRAIN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338151149",
            "telephone_number": "352-461-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 AVENUE C SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803243",
            "telephone_number": "863-268-2903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7403 Gall Blvd",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335414373",
            "country_code": "US",
            "telephone_number": "813-815-9422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLIE",
        "first_name": "MARCUES",
        "middle_name": "RESHAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PT32708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Counseling Center
• Sage Dental of Winter Haven PLLC
• Max Bond Saint Val
• Rebecca Marie Sajous, CNM
• Eva J Salamon, M.D.
• Alan L Sallman, M.D.
• Salomon Eye Care PA
• Brad R Salomon, OD
• Carly Nicole Salomon, OD
• Katie M Salomon, OD

• Physical Therapy Assistant in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.