Salvatore Deangelo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018596 Issued in MI

Practice address

30795 23 Mile Rd
Chesterfield, MI 48047-5720

Phone

(248) 691-4706

NPI assigned

Feb 26, 2018

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.

• Well-Balanced Physical Therapy L.LC.

  • Orthopedic Physical Therapist
  • Lapeer, MI
  • NPI 1619728623
  NPD Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573257600000",
    "number": "1174024103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475720",
            "telephone_number": "248-691-4706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50382 Oakview Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480471893",
            "country_code": "US",
            "telephone_number": "810-305-1478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEANGELO",
        "first_name": "SALVATORE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2019-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Dawson
• Naekia Dawson
• Maneka Day
• A'Layja Michelle Dean
• Kamille Dean
• Katherine A Decarolis, DPT
• Seth Decent
• Elisa Dechavez
• Mary Andrea Declerck, M.A., L.L.P
• Ariana Deering

• Physical Therapist in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2019; 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.