MEDICARE: MARIA SALMERON OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT 4208	FL
2	225200000X	Physical Therapy Assistant	PTA 1436	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245203504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA SALMERON OT

Provider Business Mailing Address
First Line	:	1265 STARLING AVENUE
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166
Country	:	US
Telephone Number	:	305-884-0492
Fax Number	:

Provider Business Practice Location Address
First Line	:	1265 STARLING AVENUE
Second Line	:
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166
Country	:	US
Telephone Number	:	305-884-0492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	09/11/2025

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