Active NPI
Cheyenne Brooke Sallee, PTA
- Physical Therapy Assistant
- Lindale, TX
National Provider Identifier
1619544798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4060563
- Practice address
- 2808 S Main St Ste C
Lindale, TX 75771-7854 - Phone
- (903) 780-3505
- NPI assigned
- Jun 8, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4060563 | TX | Primary |
Addresses
Primary practice location
2808 S Main St Ste C
Lindale, TX 75771-7854
Mailing address
1730 VZ County Road 4511
Ben Wheeler, TX 75754-3338
Phone (903) 360-3551
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 |
|---|---|---|---|
| 4060563 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1619544798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 VZ COUNTY ROAD 4511",
"city": "BEN WHEELER",
"state": "TX",
"postal_code": "757543338",
"telephone_number": "903-360-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 S MAIN ST STE C",
"city": "LINDALE",
"state": "TX",
"postal_code": "757717854",
"telephone_number": "903-780-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLEE",
"first_name": "CHEYENNE",
"middle_name": "BROOKE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "4060563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.