Individual provider Active NPI

Michael James Salerno, PT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1821067125
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
778 Issued in NE
Practice address
9676 Meadow Dr
Omaha, NE 68114-1271
Phone
(402) 384-9449
Fax
(402) 384-9449
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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 01430 IA
Physical Therapist 225100000X 778 NE Primary

Addresses

Primary practice location

9676 Meadow Dr
Omaha, NE 68114-1271

Mailing address

9676 Meadow Dr
Omaha, NE 68114-1271
Phone (402) 384-9449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130827000839 NE Practitioner - Physical Therapist in Private Practice 8123042702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 N 205TH St
Suite 140
Elkhorn, NE 68022-4740
Phone (402) 289-5013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
778NEMDClinical Psychologist
01430IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Flex Physical Therapy LLC Past Accepting new patients
Flex Physical Therapy LLC Physical Therapist PastSince Feb 27, 2006 Accepting new patients

Locations

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

15767 Hadan Dr
Bennington, NE 68007
Phone (402) 238-2552

1405 N 205th St
Ste 140
Elkhorn, NE 68022
Phone (402) 289-5013

2728 N 108th St
Ste 103
Omaha, NE 68164
Phone (402) 939-7939

Organizations & group practices 4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1821067125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9676 MEADOW DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681141271",
            "telephone_number": "402-384-9449",
            "fax_number": "402-384-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9676 MEADOW DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681141271",
            "telephone_number": "402-384-9449",
            "fax_number": "402-384-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALERNO",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01430",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.