Josiah Daniel Sault, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.017644 Issued in IL

Practice address

1801 W Taylor St # Mc889
Chicago, IL 60612-4795

Phone

(312) 355-4394

Fax

(312) 996-8739

NPI assigned

Aug 20, 2010

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1164738753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W OAKDALE AVE APT 803",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575618",
            "telephone_number": "630-209-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST # MC889",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-355-4394",
            "fax_number": "312-996-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULT",
        "first_name": "JOSIAH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sauganash Smiles PC
• Sauganash Wellness Center, Inc
• Matthew James Saulnier
• Michelle Saulnier, OTR/L
• Alexandria D Saulsberry, MD
• Krista A Saum, PA-C
• Whitney Mariellen Saunders Catchings, FNP
• Andrea Saunders
• Brandon Saunders, QMHP
• Justin Maxim Joseph Saunders, MD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.