Heather Salzer-Devito, P.T., ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25817 Issued in CA

Practice address

42007 Fox Farm Road
Ste 2a
Big Bear Lake, CA 92315

Phone

(909) 289-0879

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1386664464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6523",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923156523",
            "telephone_number": "909-289-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42007 FOX FARM ROAD",
            "address_2": "STE 2A",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-289-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZER-DEVITO",
        "first_name": "HEATHER",
        "credential": "P.T., ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Guadalupe Rodriguez Pacheco
• Timothy Joseph Ross, EAMP, L.AC.
• Edward Phillip Rowe, MFT INTERN
• Jessica Marian Rule, PA-C
• Michelle Simone Saidel, M.D.
• San Bernardino County Superintendent of Schools
• Tonya R. Schour, LMFT
• Select CS Physical Therapy, P.C.
• Bonnie Shaffer
• Bryan Christopher Sharp

• Physical Therapist in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.