Active NPI
Matthew Salerno, PTA
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Prairie Village, KS
National Provider Identifier
1326849555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 14-03222
- Practice address
- 3965 W 83Rd St Ste 126
Prairie Village, KS 66208-5308 - Phone
- (913) 945-1215
- NPI assigned
- Mar 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | 14-03222 | KS | Primary |
Addresses
Primary practice location
3965 W 83Rd St Ste 126
Prairie Village, KS 66208-5308
Mailing address
102 E Bertrand Ave
Saint Marys, KS 66536-1644
Phone (785) 317-4244
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14-03222 | KS | MD | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1326849555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E BERTRAND AVE",
"city": "SAINT MARYS",
"state": "KS",
"postal_code": "665361644",
"telephone_number": "785-317-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 W 83RD ST STE 126",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662085308",
"telephone_number": "913-945-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALERNO",
"first_name": "MATTHEW",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0301X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": "KS",
"license": "14-03222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.