Individual provider Active NPI

Eric Scott Salus Jr., OT

  • Occupational Therapist
  • Superior, CO
National Provider Identifier
1437669777
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6298 Issued in CO
Practice address
2600 S Rock Creek Pkwy
Superior, CO 80027-4498
Phone
(609) 468-7465
NPI assigned
Sep 30, 2017
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 021870 NY
Occupational Therapist 225X00000X 6298 CO Primary

Addresses

Primary practice location

2600 S Rock Creek Pkwy
Superior, CO 80027-4498

Mailing address

2600 S Rock Creek Pkwy
Superior, CO 80027-4498
Phone (609) 468-7465

Other practice location 1

37 Frost Street
Brooklyn, NY 11211
Phone (609) 468-7465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200706000381 CO Practitioner - Occupational Therapist in Private Practice 1759648686 Reassigns benefits to 1 organization
Practice locations: Superior, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6298COMDPhysical Therapist
021870NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Rehabilitation LLC CurrentSince Aug 12, 2020 Accepting new patients

Organizations & group practices 1

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": "1506729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1437669777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S ROCK CREEK PKWY",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274498",
            "telephone_number": "609-468-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S ROCK CREEK PKWY",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274498",
            "telephone_number": "609-468-7465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Frost Street",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11211",
            "country_code": "US",
            "telephone_number": "609-468-7465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALUS",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "name_suffix": "Jr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-30",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021870",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "6298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.