MS. KATHLEEN BLACKMAN SALAMON (NPI# 1740752591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740752591 |
Entity Type | Individual |
Full Name | MS. KATHLEEN BLACKMAN SALAMON |
Practice Address |
582 East Harding Avenue Stockton CA 95204-6110 |
Mailing Address |
1844 Allston Way Stockton CA 95204-5202 |
Practice Telephone | 2092795617 |
Practice Fax Number | 2097187190 |
Mailing Telephone | 2096390997 |
Enumeration Date | 2018-12-18 |
Last Update Date | 2018-12-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT5706 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CALIFORNIA BOARD OF PHYSICAL THERAPY | PT5706 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154607059 | Kathleen Ann Salamon | Specialist | 407 State Route 590, Roaring Brook Twp, PA 18444-7730 | 2011-10-24 |
Street Address |
582 EAST HARDING AVENUE |
City | STOCKTON |
State | CA |
Zip Code | 95204-6110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
Find all providers in zip 95204 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285042325 | Leonica Maglasang | Physical Therapist | 1135 Mill Way, Stockton, CA 95209-4369 | 2014-07-31 |
1518449354 | Jon Chrsitopher Sana Gaspar | Physical Therapist | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2018-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679386 | E-care: Physical Therapy Corporation | Physical Therapist | 2856 Pleasant Ct, Rialto, CA 92376-7250 | 2020-11-07 |
1083213961 | Profizix Physical Therapy and Wellness P.C. | Physical Therapist | 390 Hauser Blvd Apt 9l, Los Angeles, CA 90036-5577 | 2020-10-21 |
1699383000 | Andrea Yin-ming Harwig | Physical Therapist | 21237 Lassen St Unit 3, Chatsworth, CA 91311-6831 | 2020-07-21 |
1104443167 | Nadine Fruchter | Physical Therapist | 35 La Linda Dr, Long Beach, CA 90807-3305 | 2020-06-25 |
1205458106 | Kristina Louise Nielsen | Physical Therapist | 4213 State St Ste 202, Santa Barbara, CA 93110-2852 | 2020-05-13 |
1821627324 | Pamela Shirtz | Physical Therapist | 50 Alessandro Pl # A20, Pasadena, CA 91105-3149 | 2020-04-06 |
1235764697 | Alex Cabrera | Physical Therapist | 58 Flor De Sol, Rancho Santa Margarita, CA 92688-1409 | 2020-03-05 |
1720619315 | Dwayne Alvin Trenchuk | Physical Therapist | 2 Roquedo, Rancho Santa Margarita, CA 92688-2721 | 2020-02-01 |
1629621727 | Chris Curtis | Physical Therapist | 4442 Acorn Ct, Yorba Linda, CA 92886-2331 | 2019-07-18 |
1649834730 | Charles David Barnes | Physical Therapist | 404 Estero Ave, Morro Bay, CA 93442 | 2019-04-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.