Active NPI
Fausto Maurice Salazar
- Physical Therapist
- Takoma Park, MD
National Provider Identifier
1629144860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT870602
- Practice address
- 8102 Carroll Ave
Takoma Park, MD 20912-7348 - Phone
- (301) 445-8246
- NPI assigned
- Nov 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT870602 | DC | Primary |
Addresses
Primary practice location
8102 Carroll Ave
Takoma Park, MD 20912-7348
Mailing address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-3690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8600 Snowden River Pkwy
Suite 101
Columbia, MD 21045-1983
Phone (410) 720-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21528 | MD | MD | Pharmacist |
| PT870602 | DC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Center of Maryland, Corp. | Physical Therapist | Current | Accepting new patients |
Locations
8600 Snowden River Pkwy
Columbia, MD 21045
8600 Snowden River Pkwy
Ste 101
Columbia, MD 21045
Phone (410) 720-5555
Organizations & group practices 1
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
- Columbia, MD
- NPI 1396893566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629144860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8102 CARROLL AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209127348",
"telephone_number": "301-445-8246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "FAUSTO",
"middle_name": "MAURICE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.