Michael Antonio Dela Cruz Salacup, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.016226 Issued in IL

Practice address

9238 Waukegan Rd
Morton Grove, IL 60053-2101

Phone

(847) 663-5566

NPI assigned

Nov 14, 2013

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  IL

  Medicare reassignment Care Compare group
• Evergreen Home Care LTD

  • Home Health Agency
  • Morton Grove, IL
  • NPI 1750496667
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1174953053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 W IRVING PARK RD",
            "address_2": "APT.1B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342282",
            "telephone_number": "773-610-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532101",
            "telephone_number": "847-663-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALACUP",
        "first_name": "MICHAEL ANTONIO",
        "middle_name": "DELA CRUZ",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.016226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneta Sacha, FNP
• Amber Sadoski, BCBA
• Sanita Saengvilay
• Sharon Saini, DPT
• Amy Sakoda
• Susana Salcedo, M.D.
• Sumaya Saleh, OTR
• Faramarz Salimi, MD
• Behzad Sanei, D.M.D
• Sophie Scanlon, CF-SLP

• Physical Therapist in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.