Active NPI
Myriel Ermita Salazar, P.T.
- Physical Therapist
- Orlando, FL
National Provider Identifier
1588078810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14797
- Practice address
- 116 1/2 Fernwood St
Orlando, FL 32806-2108 - Phone
- (407) 580-4121
- NPI assigned
- Jun 14, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P14797 | NC | Primary |
| Physical Therapist | 225100000X | 5501014330 | MI |
Addresses
Primary practice location
116 1/2 Fernwood St
Orlando, FL 32806-2108
Mailing address
116 1/2 Fernwood St
Orlando, FL 32806-2108
Phone (407) 580-4121
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014330 | MI | MD | Physical Therapist |
| P14797 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402704000000",
"number": "1588078810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 1/2 FERNWOOD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062108",
"telephone_number": "407-580-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 1/2 FERNWOOD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062108",
"telephone_number": "407-580-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "MYRIEL",
"middle_name": "ERMITA",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-14",
"last_updated": "2014-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14797",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014330",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.