Individual provider Active NPI

Crismae Olay Salamat

  • Occupational Therapist
  • Glendale, AZ
National Provider Identifier
1346653839
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-006928 Issued in AZ
Practice address
8526 W Myrtle Ave
Glendale, AZ 85305-6706
Phone
(443) 808-3878
NPI assigned
Jun 3, 2014
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07075 MD
Occupational Therapist 225X00000X OTH-006928 AZ Primary

Addresses

Primary practice location

8526 W Myrtle Ave
Glendale, AZ 85305-6706

Mailing address

8526 W Myrtle Ave
Glendale, AZ 85305-6706
Phone (443) 808-3878

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

LicenseStateTypeSpecialty
OTH-006928AZMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1346653839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8526 W MYRTLE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853056706",
            "telephone_number": "443-808-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8526 W MYRTLE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853056706",
            "telephone_number": "443-808-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMAT",
        "first_name": "CRISMAE",
        "middle_name": "OLAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07075",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-006928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.