Healthcare Provider Details

I. General information

NPI: 1336902980
Provider Name (Legal Business Name): ERIC MATTHEW SALOMONS PT, DPT, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 06/28/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 21ST ST NW
WASHINGTON DC
20036-3390
US

IV. Provider business mailing address

3109 SARASOTA AVE
VESTAL NY
13850-3016
US

V. Phone/Fax

Practice location:
  • Phone: 202-416-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT032099
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0020146
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberLPT-034031
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217845
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: