MEDICARE: SAMANTHA M SALINAS DPT

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	225100000X	Physical Therapist	1397999	TX

General Provider Information

NPI Number	:	1053143511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA M SALINAS DPT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 ELM ST STE 121
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75270-2014
Country	:	US
Telephone Number	:	469-620-5070
Fax Number	:

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

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	08/30/2024

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Directions to “ SAMANTHA M SALINAS DPT” Practice Location

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