Active NPI
Joshua Salley, ATP
- Customized Equipment (DME)
- Carrollton, TX
National Provider Identifier
1194121491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Practice address
- 1545 Capital Dr Ste 105
Carrollton, TX 75006-3668 - Phone
- (972) 434-1700
- Fax
- (972) 221-0099
- NPI assigned
- Nov 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
1545 Capital Dr Ste 105
Carrollton, TX 75006-3668
Mailing address
3200 Rifle Gap Rd Apt 1126
Frisco, TX 75034-6487
Phone (972) 522-8559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12094967 | Other | TX | DRIVER'S LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
| National Seating & Mobility Inc. | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Carrollton, TX
- NPI 1881124923
-
- Customized Equipment (DME)
- Tucson, AZ
- NPI 1760273643
Durable Medical Equipment & Medical Supplies
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416096000000",
"number": "1194121491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 RIFLE GAP RD APT 1126",
"city": "FRISCO",
"state": "TX",
"postal_code": "750346487",
"telephone_number": "972-522-8559",
"fax_number": "469-777-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 CAPITAL DR STE 105",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750063668",
"telephone_number": "972-434-1700",
"fax_number": "972-221-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLEY",
"first_name": "JOSHUA",
"credential": "ATP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-13",
"last_updated": "2014-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE#",
"identifier": "12094967",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.