Active NPI
Martin Salomon, PT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1366639825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010772
- Practice address
- 1302 Holly LN NE
Atlanta, GA 30329-3514 - Phone
- (347) 243-6403
- NPI assigned
- Sep 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029641-1 | NY | |
| Physical Therapist | 225100000X | PT010772 | GA | Primary |
Addresses
Primary practice location
1302 Holly LN NE
Atlanta, GA 30329-3514
Mailing address
1302 Holly LN NE
Atlanta, GA 30329-3514
Phone (347) 243-6403
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 |
|---|---|---|---|
| PT010772 | GA | MD | Physical Therapist |
| 029641-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1366639825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 HOLLY LN NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293514",
"telephone_number": "347-243-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 HOLLY LN NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293514",
"telephone_number": "347-243-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOMON",
"first_name": "MARTIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-28",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029641-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.