Individual provider Active NPI

Jerome Estrada Salamat, PT

  • Physical Therapist
  • Globe, AZ
National Provider Identifier
1710353099
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-013328 Issued in AZ
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

Updated by the provider on Sep 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPT-013328AZMDPhysical Therapist
25638MDMDPhysical 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.

Verify at the official NPI Registry.