Ivan R Salazar, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

000674 Issued in WV

Practice address

Barron Dr
Institute, WV 25112-1004

Phone

(304) 766-4869

Fax

(304) 766-4867

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Enterprise Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Hurricane, WV
  • NPI 1578828844

  Physical Therapist

  NPD (past) Authorized official
• St of WV Div of Rehabilitation Services

  • Rehabilitation Clinic/Center
  • Institute, WV
  • NPI 1619951977
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831177930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "address_2": "BARRON DR",
            "city": "INSTITUTE",
            "state": "WV",
            "postal_code": "251121004",
            "telephone_number": "304-766-4869",
            "fax_number": "304-766-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRON DR",
            "city": "INSTITUTE",
            "state": "WV",
            "postal_code": "251121004",
            "telephone_number": "304-766-4869",
            "fax_number": "304-766-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "IVAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "000674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTN ST BC/BS PROVIDER",
            "identifier": "0001722910",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BD OF PT",
            "identifier": "000674",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157318000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Holland Hoback Clark, MD
• James Kesley Egnor II, MD
• Pamela R Jense, MA
• Megan Marie Perry, OTR
• Rick Ray, A.T.,C
• St of WV Div of Rehabilitation Services
• Shirley J Starkey, SLP
• Kenneth Dion Stowers, OTR/L
• Curry Steven Thompson, PT

• Physical Therapist in Institute, WV
• Providers in Institute, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.