Juanita De Luna Salazar, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1192698 Issued in TX

Practice address

1635 NE Interstate 410 Loop
#600
San Antonio, TX 78209

Phone

(210) 457-2000

NPI assigned

Sep 8, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Free Range Physical Therapy PLLC

  • Physical Therapist
  • Castroville, TX
  • NPI 1962992099
  Medicare reassignment NPD

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932627007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24519 CAMPBELLTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782644524",
            "telephone_number": "210-557-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NE INTERSTATE 410 LOOP",
            "address_2": "#600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-457-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Cherry Ridge Dr.",
            "address_2": "Ste. D-400",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78230",
            "country_code": "US",
            "telephone_number": "210-692-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JUANITA",
        "middle_name": "DE LUNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1192698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518179704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Salazar, SLP ASSISTANT
• Jessica Lynn Salazar, APRN - FNP
• Jose Salazar
• Josephine Rose Salazar, AGNP-BC
• Joyce Salazar
• Julianna Salazar
• Kaitlyn M Salazar, DPT, PT
• Katherine Salazar
• Kristabell Salazar, FNP-C
• Leslie Salazar

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.