Individual provider Active NPI

Kevin Glen Saldanha, P.T.; D.P.T

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1346546835
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P13018 Issued in NC
Practice address
7501 Lead Mine Rd
Raleigh, NC 27615-4825
Phone
(919) 424-5080
Fax
(919) 424-5085
NPI assigned
Feb 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X P13018 NC
Physical Therapist 225100000X P13018 NC Primary

Addresses

Primary practice location

7501 Lead Mine Rd
Raleigh, NC 27615-4825

Mailing address

7501 Lead Mine Rd
Raleigh, NC 27615-4825
Phone (919) 424-5080

Other identifiers 1

IdentifierTypeStateIssuer
P13018OtherNCNC PHYSICAL THERAPY LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308000249 NC Practitioner - Physical Therapist in Private Practice 0345422614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

1901 Mooney St
Winston Salem, NC 27103-3027
Phone (336) 716-8091

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P13018NCMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences Physical Therapist CurrentSince Jul 30, 2023 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Locations

1901 Mooney St
Winston Salem, NC 27103
Phone (336) 716-8091

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1346546835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LEAD MINE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154825",
            "telephone_number": "919-424-5080",
            "fax_number": "919-424-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LEAD MINE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154825",
            "telephone_number": "919-424-5080",
            "fax_number": "919-424-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDANHA",
        "first_name": "KEVIN",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "P.T.; D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NC",
            "license": "P13018",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P13018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "P13018",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.