Active NPI
Jessica Louise Salgado, PT, DPT
- Physical Therapist
- Beaumont, TX
National Provider Identifier
1508514654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1358540
- Practice address
- 855 S 8TH St
Beaumont, TX 77701-4603 - Phone
- (409) 838-6568
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1358540 | TX | |
| Physical Therapist | 225100000X | 1358540 | TX | Primary |
Addresses
Primary practice location
855 S 8TH St
Beaumont, TX 77701-4603
Mailing address
255 Chaple Creek Dr
Lumberton, TX 77657-2543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2021 E Village Green Cir
Suite C
Draper, UT 84020-5500
4557 S Western St
Suite B4
Amarillo, TX 79109-8044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1358540 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheelchair Clinic Inc | Physical Therapist | Current | Accepting new patients |
| Richard L Shorkey Education & Rehabilitation Center | Physical Therapist | Past | Accepting new patients |
Locations
4557 S Western St
Ste B4
Amarillo, TX 79109
Phone (801) 440-5592
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 and National Provider Directory roles.
-
- Physical Therapist
- Amarillo, TX
- NPI 1265904064
-
- Physical Therapist
- Beaumont, TX
- NPI 1053497677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1508514654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 CHAPLE CREEK DR",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776572543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 S 8TH ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014603",
"telephone_number": "409-838-6568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALGADO",
"first_name": "JESSICA",
"middle_name": "LOUISE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1358540",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1358540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.