Individual provider Active NPI

Maureen Salamon, OTR/L

  • Specialist
  • Elkins Park, PA
National Provider Identifier
1215136379
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OC005058-L Issued in PA
Practice address
122 Holme Ave
Elkins Park, PA 19027-1804
Phone
(215) 379-1156
NPI assigned
Jul 17, 2007
Last updated
Jul 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OC005058-L PA Primary

Addresses

Primary practice location

122 Holme Ave
Elkins Park, PA 19027-1804

Mailing address

122 Holme Ave
Elkins Park, PA 19027-1804
Phone (215) 379-1156

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC005058-LPAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1215136379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HOLME AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271804",
            "telephone_number": "215-379-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HOLME AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271804",
            "telephone_number": "215-379-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMON",
        "first_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OC005058-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.