Active NPI
Jeff Salsieder, DPT
- Physical Therapist
- Elroy, WI
National Provider Identifier
1508240300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13124
- Practice address
- 307 Royall Ave
Heritage Manor
Elroy, WI 53929 - Phone
- (608) 462-8491
- NPI assigned
- Jul 13, 2015
- Last updated
- Jul 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 13124 | WI | Primary |
Addresses
Primary practice location
307 Royall Ave
Heritage Manor
Elroy, WI 53929
Mailing address
680 South Fourth Street
Kindred Healthcare
Louisville, KY 40202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13124 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawton Indian Hospital | Current | Accepting new patients | |
| Anadarko Indian Health Center | Current | Accepting new patients |
Locations
201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
Organizations & group practices 2
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": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1508240300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 SOUTH FOURTH STREET",
"address_2": "KINDRED HEALTHCARE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 ROYALL AVE",
"address_2": "HERITAGE MANOR",
"city": "ELROY",
"state": "WI",
"postal_code": "53929",
"telephone_number": "608-462-8491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALSIEDER",
"first_name": "JEFF",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elroy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.