Individual provider Active NPI

Kelli Salm

  • Physical Therapist
  • Loxahatchee, FL
National Provider Identifier
1992128755
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-29222 Issued in FL
Practice address
15553 Tangerine Blvd
Loxahatchee, FL 33470-3415
Phone
(513) 465-0019
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-29222 FL Primary
Physical Therapist 225100000X PT-10614 OH

Addresses

Primary practice location

15553 Tangerine Blvd
Loxahatchee, FL 33470-3415

Mailing address

15553 Tangerine Blvd
Loxahatchee, FL 33470-3415
Phone (513) 465-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118002344 FL Practitioner - Physical Therapist in Private Practice 0042432551 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-29222FLMDPhysical Therapist
PT-10614OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leverage Health, Inc. Physical Therapist CurrentSince May 10, 2019 Accepting new patients

Locations

2655 E Oakland Park Blvd
Ste 5
Oakland Park, FL 33306
Phone (954) 630-3131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1992128755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15553 TANGERINE BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334703415",
            "telephone_number": "513-465-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15553 TANGERINE BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334703415",
            "telephone_number": "513-465-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALM",
        "first_name": "KELLI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT-29222",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-10614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.