Erik Richard Salley, PT DPT MA OCS CMDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22669 Issued in CA

Practice address

3505 Madison St Ste 102
Riverside, CA 92504-3785

Phone

(951) 329-3928

Fax

(951) 374-0621

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Restore Sports Physical Therapy, Inc.

  • Physical Therapist
  • Riverside, CA
  • NPI 1407324502
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1356325542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 MADISON ST STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043785",
            "telephone_number": "951-329-3928",
            "fax_number": "951-374-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 MADISON ST STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043785",
            "telephone_number": "951-329-3928",
            "fax_number": "951-374-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "ERIK",
        "middle_name": "RICHARD",
        "credential": "PT DPT MA OCS CMDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "22669",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR",
            "identifier": "0175125",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650024812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Itzel Salinas Hernandez
• Elizabeth Salinas
• Lena Salinas
• Ralph Harry Salisbury, O.D.
• Allan Salivio, RN
• George Salman, DO
• Mohammed Diab Salman Salman
• Tammie Lynn Salmon
• Nicolas Salonen
• Carlos Arturo Salsedo

• Physical Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.