Individual provider Active NPI

Jose Salgado III, MPT

  • Physical Therapist
  • Stuart, FL
National Provider Identifier
1760412282
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24662 Issued in FL
Practice address
8973 SW Chevy Cir
Stuart, FL 34997-1306
Phone
(561) 603-5464
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT24662 FL Primary

Addresses

Primary practice location

8973 SW Chevy Cir
Stuart, FL 34997-1306

Mailing address

8973 SW Chevy Cir
Stuart, FL 34997-1306
Phone (561) 603-5464

Other identifiers 1

IdentifierTypeStateIssuer
885973MedicaidAZ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6453AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action of Scottsdale LLC PastSince Apr 30, 2003 Accepting new patients
Vero Orthopaedics II PA PastSince Jan 15, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1760412282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8973 SW CHEVY CIR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971306",
            "telephone_number": "561-603-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8973 SW CHEVY CIR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971306",
            "telephone_number": "561-603-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGADO",
        "first_name": "JOSE",
        "name_suffix": "III",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885973",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.