MEDICARE: AUSTIN SALTIS

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	225200000X	Physical Therapy Assistant	003069	WV

General Provider Information

NPI Number	:	1528920220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN SALTIS

Provider Business Mailing Address
First Line	:	84 ROBINSON ST
Second Line	:
City	:	FLEMINGTON
State	:	WV
Zip	:	26347-6215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1543 COUNTRY CLUB RD
Second Line	:
City	:	FAIRMONT
State	:	WV
Zip	:	26554-1306
Country	:	US
Telephone Number	:	304-363-2273
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ AUSTIN SALTIS ” Practice Location

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