Jaclyn Michelle Salle

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10207 Issued in CA

Practice address

231 Camarillo Ranch Rd
Camarillo, CA 93012-5082

Phone

(805) 484-2026

NPI assigned

Sep 28, 2013

Sex

Female

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

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.

• George Erb Physical Therapy Inc

  • Physical Therapist
  • Camarillo, CA
  • NPI 1386620250
  NPD (past)

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

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1164859674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CAMARILLO RANCH RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CAMARILLO RANCH RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125082",
            "telephone_number": "805-484-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLE",
        "first_name": "JACLYN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-28",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "10207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Michelle Salas
• Carlos David Salazar Lopez, RBT
• Amber Saldate
• Yvette Villa Salgado
• Kimberly Salinas
• Caroline J Salstrom, RPH
• Stephan Harrison Salter, MA
• Nooshin Samadani
• Philip Samaniego, PTA
• Jo Ann Angcanan Samonte, FNP

• Physical Therapy Assistant in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.