Ivane Faustine Doon Salamanca, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1285279 Issued in TX

Practice address

208 Starr St Ste 2
Mercedes, TX 78570-2736

Phone

(956) 514-1551

NPI assigned

Jun 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Movactive Therapy and Wellness, PLLC

  • Physical Therapy Clinic/Center
  • Plano, TX
  • NPI 1528759933
  NPD Authorized official

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1912499922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 STARR ST STE 2",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702736",
            "telephone_number": "956-514-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 STARR ST STE 2",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702736",
            "telephone_number": "956-514-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 Colorado St Apt 10203",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785723958",
            "country_code": "US",
            "telephone_number": "319-610-3978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAMANCA",
        "first_name": "IVANE FAUSTINE",
        "middle_name": "DOON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1285279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassidie Faith Rodriguez
• Sandra Rodriguez, PA-C
• Alyssa Andrea Romero
• Joel Aaron Ruiz, LCSW
• Saint Luke'S Providers, LLC
• Santiago Salinas, PTA
• Shania Lynn Salinas
• Brandon Xavier Lee Sanchez
• Sandoval Agency, LLC
• Santa Cruz Day Care for Adults, LLC

• Physical Therapist in Mercedes, TX
• Providers in Mercedes, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.