Jeremy Daniel Salas, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1320083 Issued in TX

Practice address

14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019

Phone

(512) 847-3300

Fax

(512) 847-3314

NPI assigned

Aug 22, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

2 M Polhemus LLCGroup PAC ID 6103092390, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.84 of 100Reported as group

Quality

80.88

Improvement activities

40

Cost

68.29

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 2 M Polhemus LLC

  • Physical Therapist
  • Wimberley, TX
  • NPI 1467750554
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1184271256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12 UNIT 100",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786760019",
            "telephone_number": "512-847-3300",
            "fax_number": "512-847-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12 UNIT 100",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786760019",
            "telephone_number": "512-847-3300",
            "fax_number": "512-847-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "JEREMY",
        "middle_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1320083",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1320083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Keepers LLC
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• Linda Kaye Rogers, LCSW
• Jennifer Miller Sabatier, M.A.
• Wendy Salopek
• Alberto Santos III, D.O.
• Justin Robert Schaack, DDS
• Sebring Clinic
• Lane Sebring, M.D.

• Physical Therapist in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.