Active NPI
Matthew Blaine Salter, PT, DPT
- Physical Therapist
- Winfield, AL
National Provider Identifier
1861913352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6140
- Practice address
- 1860 US Highway 43
Winfield, AL 35594-5062 - Phone
- (205) 395-5003
- Fax
- (205) 395-5004
- NPI assigned
- Jul 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT32390 | FL | |
| Physical Therapist | 225100000X | PTH6140 | AL | Primary |
Addresses
Primary practice location
1860 US Highway 43
Winfield, AL 35594-5062
Mailing address
199 N Brookmoore Dr
Columbus, MS 39705-2024
Phone (662) 327-6705
Other practice location 1
3876 Highway 90
Milton, FL 32571-1095
Phone (850) 908-1701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT32390 | Other | FL | PT LICENCE |
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 |
|---|---|---|---|
| PTH6140 | AL | MD | Physical Therapist |
| PT32390 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1861913352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 N BROOKMOORE DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052024",
"telephone_number": "662-327-6705",
"fax_number": "662-327-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 US HIGHWAY 43",
"city": "WINFIELD",
"state": "AL",
"postal_code": "355945062",
"telephone_number": "205-395-5003",
"fax_number": "205-395-5004"
}
],
"practiceLocations": [
{
"address_1": "3876 Highway 90",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "FL",
"postal_code": "325711095",
"country_code": "US",
"telephone_number": "850-908-1701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALTER",
"first_name": "MATTHEW",
"middle_name": "BLAINE",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-05",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32390",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENCE",
"identifier": "PT32390",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.