Individual provider Active NPI

Derek S Saltzman, PT

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Bedford, MA
National Provider Identifier
1437448164
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
11199 Issued in MA
Practice address
651 Orchard St
Suite 202a
New Bedford, MA 02744
Phone
(774) 628-9169
Fax
(774) 328-8059
NPI assigned
Apr 4, 2011
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 11199 MA Primary
Sports Medicine (Preventive Medicine) Physician 2083S0010X 11199 MA

Addresses

Primary practice location

651 Orchard St
Suite 202a
New Bedford, MA 02744

Mailing address

651 Orchard St
Suite 202a
New Bedford, MA 02744
Phone (774) 628-9169

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000038 MA Practitioner - Physical Therapist in Private Practice 9234308784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fusion Physical Therapy IncGroup PAC ID 5991928491, 3 clinicians

Practice addresses (Care Compare)

651 Orchard St
Suite 202a
New Bedford, MA 02744-1052
Phone (774) 766-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11199MAMDSports Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Chiropractic Management Inc CurrentSince Jan 1, 2012 Accepting new patients
Fusion Physical Therapy Inc CurrentSince Feb 3, 2014 Accepting new patients
Synergy Healthcare Corporation PastSince Apr 1, 2013 Accepting new patients

Locations

2360 Cranberry Hwy
West Wareham, MA 02576
Phone (508) 273-0190

Organizations & group practices 3

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1437448164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 ORCHARD ST",
            "address_2": "SUITE 202A",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02744",
            "telephone_number": "774-628-9169",
            "fax_number": "774-328-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ORCHARD ST",
            "address_2": "SUITE 202A",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02744",
            "telephone_number": "774-628-9169",
            "fax_number": "774-328-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZMAN",
        "first_name": "DEREK",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MA",
            "license": "11199",
            "primary": true
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "MA",
            "license": "11199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.