Individual provider Active NPI

Maribeth Salge, PT

  • Physical Therapist
  • Rockledge, FL
National Provider Identifier
1811043896
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14525 Issued in FL
Practice address
197 Bougainvillea Dr Ste C
Rockledge, FL 32955-2402
Phone
(321) 633-9718
Fax
(321) 633-9908
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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 PT14525 FL Primary

Addresses

Primary practice location

197 Bougainvillea Dr Ste C
Rockledge, FL 32955-2402

Mailing address

197 Bougainvillea Dr Ste C
Rockledge, FL 32955-2402
Phone (321) 633-9718

Other identifiers 1

IdentifierTypeStateIssuer
891711600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001807 FL Practitioner - Physical Therapist in Private Practice 4880687185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jan Salges Better Bodies Physical Therapy IncGroup PAC ID 9830182120, 2 clinicians

Practice addresses (Care Compare)

197 Bougainvillea Dr
Suite C
Rockledge, FL 32955-2402
Phone (321) 633-9718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT14525FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jan Salge'S Better Bodies Physical Therapy, Inc. Physical Therapist CurrentSince Oct 23, 2003 Accepting new patients

Locations

197 Bouganvillea Dr
Ste C
Rockledge, FL 32955
Phone (321) 633-9718

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1811043896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 BOUGAINVILLEA DR STE C",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552402",
            "telephone_number": "321-633-9718",
            "fax_number": "321-633-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 BOUGAINVILLEA DR STE C",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552402",
            "telephone_number": "321-633-9718",
            "fax_number": "321-633-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGE",
        "first_name": "MARIBETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891711600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.