Active NPI
Tristan Faile Salomon, PT
- Physical Therapist
- Twentynine Palms, CA
National Provider Identifier
1790223956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8492
- Practice address
- 1145 Sturgis Rd
Twentynine Palms, CA 92277 - Phone
- (760) 830-2543
- NPI assigned
- Feb 8, 2017
- Last updated
- Feb 4, 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 | 8492 | SC | Primary |
Addresses
Primary practice location
1145 Sturgis Rd
Twentynine Palms, CA 92277
Mailing address
822 Deerwood Rd
Lancaster, SC 29720-9627
Phone (803) 320-8671
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8492 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascent Total Performance, LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Columbia, SC
- NPI 1275106270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1790223956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 DEERWOOD RD",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297209627",
"telephone_number": "803-320-8671",
"fax_number": "803-619-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 STURGIS RD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92277",
"telephone_number": "760-830-2543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOMON",
"first_name": "TRISTAN",
"middle_name": "FAILE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-08",
"last_updated": "2022-02-04",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.