Active NPI
Jerome Estrada Salamat, PT
- Physical Therapist
- Globe, AZ
National Provider Identifier
1710353099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-013328
- Practice address
- 1300 E South St
Globe, AZ 85501-1436 - Phone
- (928) 425-3118
- NPI assigned
- Aug 20, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25638 | MD | |
| Physical Therapist | 225100000X | LPT-013328 | AZ | Primary |
Addresses
Primary practice location
1300 E South St
Globe, AZ 85501-1436
Mailing address
8526 W Myrtle Ave
Glendale, AZ 85305-6706
Phone (443) 808-5511
Other practice location 1
1065 Norman Dr
Apt 102
Annapolis, MD 21403-3072
Phone (443) 808-5511
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 |
|---|---|---|---|
| LPT-013328 | AZ | MD | Physical Therapist |
| 25638 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1710353099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8526 W MYRTLE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853056706",
"telephone_number": "443-808-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E SOUTH ST",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855011436",
"telephone_number": "928-425-3118"
}
],
"practiceLocations": [
{
"address_1": "1065 Norman Dr",
"address_2": "Apt 102",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214033072",
"country_code": "US",
"telephone_number": "443-808-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAMAT",
"first_name": "JEROME",
"middle_name": "ESTRADA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-20",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25638",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-013328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Globe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.