Active NPI
Kristina Irene Salazar, DPT
- Physical Therapist
- Ferndale, WA
National Provider Identifier
1740910983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61261107
- Practice address
- 1887 Main St Ste 105
Ferndale, WA 98248-9426 - Phone
- (360) 384-5111
- NPI assigned
- Jun 11, 2022
- Sex
- Female
- 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 | 61261107 | WA | Primary |
Addresses
Primary practice location
1887 Main St Ste 105
Ferndale, WA 98248-9426
Mailing address
1887 Main St Ste 105
Ferndale, WA 98248-9426
Phone (360) 384-5111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61261107 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Health Services Inc. | Physical Therapist | Current | Accepting new patients |
| Capstone Health Services Inc. | Physical Therapist | Current | Accepting new patients |
| Capstone Health Services Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1887 Main St
Ste 105
Ferndale, WA 98248
Phone (360) 384-5111
8862 Bender Rd
Ste 101
Lynden, WA 98264
Phone (360) 255-7876
Organizations & group practices 3
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.
-
dba Capstone Physical Therapy
- Physical Therapist
- Lynden, WA
- NPI 1336407956
-
dba Capstone Physical Therapy
- Physical Therapist
- Bellingham, WA
- NPI 1831757848
-
dba Capstone Physical Therapy
- Physical Therapist
- Ferndale, WA
- NPI 1861462152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654905600000",
"number": "1740910983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 MAIN ST STE 105",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982489426",
"telephone_number": "360-384-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1887 MAIN ST STE 105",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982489426",
"telephone_number": "360-384-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "KRISTINA",
"middle_name": "IRENE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-11",
"last_updated": "2022-06-11",
"certification_date": "2022-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61261107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.