Individual provider Active NPI

Patricia Christoff Salisbury, M.S.-CCC-SLP

  • Speech-Language Pathologist
  • Radnor, PA
National Provider Identifier
1255543682
Registry record updated May 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL000884L Issued in PA
Practice address
96 Lemonton Way
Radnor, PA 19087
Phone
(215) 817-8126
NPI assigned
May 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL000884L PA Primary

Addresses

Primary practice location

96 Lemonton Way
Radnor, PA 19087

Mailing address

96 Lemonton Way
Radnor, PA 19087-4664
Phone (215) 817-8126

Other practice location 1

80 W Hampton Rd
Philadelphia, PA 19118-3611
Phone (215) 817-8126

Other identifiers 1

IdentifierTypeStateIssuer
001930569 0003MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
SL000884LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1255543682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LEMONTON WAY",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190874664",
            "telephone_number": "215-817-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 LEMONTON WAY",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "19087",
            "telephone_number": "215-817-8126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 W Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191183611",
            "country_code": "US",
            "telephone_number": "215-817-8126",
            "fax_number": "215-242-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALISBURY",
        "first_name": "PATRICIA",
        "middle_name": "CHRISTOFF",
        "name_prefix": "Ms.",
        "credential": "M.S.-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000884L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001930569 0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radnor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.