Active NPI
Kelli Salm
- Physical Therapist
- Loxahatchee, FL
National Provider Identifier
1992128755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-29222
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-29222 | FL | MD | Physical Therapist |
| PT-10614 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leverage Health, Inc. | Physical Therapist | Current | 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.