Active NPI
Earlee Alfonso Salas, MS, PT
- Physical Therapist
- Brandon, FL
National Provider Identifier
1154515666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3692
- Practice address
- 615 Vonderburg Dr
Brandon, FL 33511-5972 - Phone
- (813) 654-1856
- NPI assigned
- Aug 29, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3692 | FL | Primary |
Addresses
Primary practice location
615 Vonderburg Dr
Brandon, FL 33511-5972
Mailing address
PO Box 1516
Dade City, FL 33526-1516
Phone (813) 841-2599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT3692 | Other | FL | LICENSE NUMBER |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earlee a. Salas, PA | Past | Accepting new patients |
Organizations & group practices 1
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": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1154515666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1516",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335261516",
"telephone_number": "813-841-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 VONDERBURG DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115972",
"telephone_number": "813-654-1856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS",
"first_name": "EARLEE",
"middle_name": "ALFONSO",
"name_prefix": "Mr.",
"credential": "MS, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT3692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PT3692",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.