Active NPI
Scott Salisbury, PT, DPT, ATC, CSCS
- Physical Therapist
- Kewanee, IL
National Provider Identifier
1487820411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.061217
- Practice address
- 1258 W South St
Suite 1
Kewanee, IL 61443-8300 - Phone
- (309) 852-2200
- Fax
- (309) 852-2402
- NPI assigned
- Apr 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.061217 | IL | Primary |
Addresses
Primary practice location
1258 W South St
Suite 1
Kewanee, IL 61443-8300
Mailing address
PO Box 3497
Sturtevant, WI 53177-0300
Phone (888) 201-1040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.061217 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kewanee Physical Therapy and Rehab Specialists | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Physical Therapist
- Kewanee, IL
- NPI 1376659714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1487820411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3497",
"city": "STURTEVANT",
"state": "WI",
"postal_code": "531770300",
"telephone_number": "888-201-1040",
"fax_number": "866-245-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 W SOUTH ST",
"address_2": "SUITE 1",
"city": "KEWANEE",
"state": "IL",
"postal_code": "614438300",
"telephone_number": "309-852-2200",
"fax_number": "309-852-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALISBURY",
"first_name": "SCOTT",
"credential": "PT, DPT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.061217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kewanee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.