Mr Ivan R Salazar, PT is a
Physical Therapist based in Institute, West Virginia. Mr Ivan R Salazar is licensed to practice in West Virginia (license number 000674) and his current practice location is
Barron Dr, Institute, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 766-4869.
NPI number for Mr Ivan R Salazar is 1831177930 and his current mailing address is Po Box 1004, Barron Dr, Institute, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831177930.
Healthcare Provider's Profile
Full Name | Mr Ivan R Salazar |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | Barron Dr, Institute, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831177930
- Provider Enumeration Date: 01/09/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Ivan R Salazar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831177930 | NPI | - | NPPES |
0001722910 | Other | WV | MTN ST BC/BS PROVIDER |
000674 | Other | WV | WV BD OF PT |
0157318000 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 000674 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ivan R Salazar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Ivan R Salazar, PT Po Box 1004, Barron Dr, Institute, WV 25112-1004 Ph: (304) 766-4869 | Mr Ivan R Salazar, PT Barron Dr, Institute, WV 25112-1004 Ph: (304) 766-4869 |
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