Jeanene Susan Salas, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24605 Issued in FL

Practice address

1200 N Stone St
Deland, FL 32720-2511

Phone

(386) 734-4334

Fax

(386) 736-2118

NPI assigned

Mar 24, 2009

Last updated

Apr 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1336381227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202511",
            "telephone_number": "386-734-4334",
            "fax_number": "386-736-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202511",
            "telephone_number": "386-734-4334",
            "fax_number": "386-736-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "JEANENE",
        "middle_name": "SUSAN",
        "name_prefix": "Miss",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Timothy Rybinski, D.C.
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• Heather Sabat, PH.D
• Marie D Sabatini, LMT
• Patricia Sage
• Tamara K Salhoff, BSW
• Saltzman, Tanis, Pittel, Levin and Jacobson, LLC (Pediatric Associates)
• Gerald Salvatico, CRNA
• Leonardo Samalot, D.C.
• Jessica Sambucharan

• Physical Therapist in Deland, FL
• Providers in Deland, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.