Active NPI
Caroline Salam
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1346890829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35135
- Practice address
- 320 Ward Ave Ste 107
Honolulu, HI 96814-4016 - Phone
- (808) 597-1005
- NPI assigned
- Sep 16, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 35135 | FL | Primary |
Addresses
Primary practice location
320 Ward Ave Ste 107
Honolulu, HI 96814-4016
Mailing address
320 Ward Ave Ste 107
Honolulu, HI 96814-4016
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | WebPT.com |
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 |
|---|---|---|---|
| 35135 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moon Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
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.
-
- Physical Therapist
- Honolulu, HI
- NPI 1326235128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1346890829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 WARD AVE STE 107",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 WARD AVE STE 107",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144016",
"telephone_number": "808-597-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAM",
"first_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "35135",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "WebPT.com",
"affiliation": "N",
"address_1": "320 Ward Ave Ste 107",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968144016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.