Active NPI
Thomas Lee Sallen, CD
- Orthotist
- Tampa, FL
National Provider Identifier
1982777314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- ORT 43
- Practice address
- 5311 E Fletcher Avenue
Tampa, FL 33617 - Phone
- (813) 985-5000
- Fax
- (813) 985-4499
- NPI assigned
- Nov 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | ORT 43 | FL | Primary |
Addresses
Primary practice location
5311 E Fletcher Avenue
Tampa, FL 33617
Mailing address
5311 E Fletcher Avenue
Tampa, FL 33617
Phone (813) 985-5000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ORT 43 | FL | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982777314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 E FLETCHER AVENUE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33617",
"telephone_number": "813-985-5000",
"fax_number": "813-985-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5311 E FLETCHER AVENUE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33617",
"telephone_number": "813-985-5000",
"fax_number": "813-985-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLEN",
"first_name": "THOMAS",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "CD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "FL",
"license": "ORT 43",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.