Active NPI
Johann Leach Salas, OTR
- Occupational Therapist
- Briarcliff, TX
National Provider Identifier
1588411250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1002033
- Practice address
- 20424 Haystack CV
Briarcliff, TX 78669-6441 - Phone
- (512) 261-3584
- NPI assigned
- May 1, 2024
- Last updated
- May 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1002033 | TX | Primary |
Addresses
Primary practice location
20424 Haystack CV
Briarcliff, TX 78669-6441
Mailing address
5412 Texas Bluebell Dr
Spicewood, TX 78669-6889
Phone (817) 793-7105
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 |
|---|---|---|---|
| 1002033 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1588411250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5412 TEXAS BLUEBELL DR",
"city": "SPICEWOOD",
"state": "TX",
"postal_code": "786696889",
"telephone_number": "817-793-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20424 HAYSTACK CV",
"city": "BRIARCLIFF",
"state": "TX",
"postal_code": "786696441",
"telephone_number": "512-261-3584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS",
"first_name": "JOHANN",
"middle_name": "LEACH",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "1002033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Briarcliff, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.