Individual provider Active NPI

Pia Louise Salcedo, PT, DPT, OCS

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1417696436
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
12121 Wilshire Blvd Ste 100
Los Angeles, CA 90025-1221
Phone
(310) 477-7774
NPI assigned
May 27, 2022
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

12121 Wilshire Blvd Ste 100
Los Angeles, CA 90025-1221

Mailing address

12121 Wilshire Blvd Ste 100
Los Angeles, CA 90025-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909004077 AZ Practitioner - Physical Therapist in Private Practice 9234632068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physical Therapy 3 LLCGroup PAC ID 2668988171, 7 clinicians
Impact Physical Therapy LLCGroup PAC ID 4789978735, 11 clinicians

Practice addresses (Care Compare)

4575 E Cactus Rd
Suite 130
Phoenix, AZ 85032-7700
Phone (623) 208-7575

7727 W Deer Valley Rd
Suite 210
Peoria, AZ 85382-2120
Phone (623) 208-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physical Therapy 3 LLC Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients
Elite Orthosport Physical Therapy CurrentSince May 29, 2022 Accepting new patients
Impact Physical Therapy LLC Physical Therapist CurrentSince Aug 27, 2025 Accepting new patients
Impact Physical Therapy - 2 LLC CurrentSince Aug 27, 2025 Accepting new patients
Physical Medicine of Arizona, LLC CurrentSince Aug 27, 2025 Accepting new patients
Elite Orthosport Performance Physical Therapy CurrentSince May 29, 2022 Accepting new patients

Locations

7727 W Deer Valley Rd
Ste 210
Peoria, AZ 85382
Phone (623) 208-7575

4575 E Cactus Rd
Ste 130
Phoenix, AZ 85032
Phone (602) 482-0994

20801 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (623) 208-7575

12121 Wilshire Blvd
Ste 100
Los Angeles, CA 90025
Phone (310) 477-4774

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1417696436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 WILSHIRE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 WILSHIRE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251221",
            "telephone_number": "310-477-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "PIA",
        "middle_name": "LOUISE",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.