Individual provider Active NPI

Tess Salisbury, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1386201846
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9112096 Issued in FL
Practice address
7824 Lake Underhill Rd Ste H
Orlando, FL 32822-8201
Phone
(407) 440-2728
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9112096 FL Primary

Addresses

Primary practice location

7824 Lake Underhill Rd Ste H
Orlando, FL 32822-8201

Mailing address

608 Oxford Ave
Melbourne, FL 32935-3012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190717001055 FL Practitioner - Physician Assistant 1254666977 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9112096FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 1, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jan 1, 2024 Accepting new patients
American Spine & Orthopaedic Institute LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

9410 Fountain Medical Ct
Ste 201
Bonita Springs, FL 34135
Phone (239) 593-9599

8931 W Atlantic Blvd
Coral Springs, FL 33071
Phone (754) 225-7033

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

7824 Lake Underhill Rd
Ste H
Orlando, FL 32822
Phone (407) 382-6292

Organizations & group practices 4

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1386201846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 OXFORD AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7824 LAKE UNDERHILL RD STE H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228201",
            "telephone_number": "407-440-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALISBURY",
        "first_name": "TESS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.