Active NPI
Seleste Salamanca, OTR
- Occupational Therapist
- Frederick, MD
National Provider Identifier
1295855609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 06711
- Practice address
- 5955 Quinn Orchard Rd
Frederick, MD 21704-6656 - Phone
- (301) 662-6901
- Fax
- (301) 662-6730
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 06711 | MD | Primary |
| Occupational Therapist | 225X00000X | 105894 | TX |
Addresses
Primary practice location
5955 Quinn Orchard Rd
Frederick, MD 21704-6656
Mailing address
5955 Quinn Orchard Rd
Frederick, MD 21704-6656
Phone (301) 662-6901
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089424801 | Medicaid | TX | |
| 089424803 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06711 | MD | MD | Speech-Language Pathologist |
| 105894 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salamancas Therapy, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Mission, TX
- NPI 1871794461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1295855609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 QUINN ORCHARD RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217046656",
"telephone_number": "301-662-6901",
"fax_number": "301-662-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5955 QUINN ORCHARD RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217046656",
"telephone_number": "301-662-6901",
"fax_number": "301-662-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAMANCA",
"first_name": "SELESTE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "06711",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105894",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089424801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089424803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.