Provider Demographics
NPI:1285925792
Name:SALESI, KARL (PT)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:
Last Name:SALESI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 GRACE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2745
Mailing Address - Country:US
Mailing Address - Phone:412-882-6020
Mailing Address - Fax:412-882-7139
Practice Address - Street 1:5225 GRACE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2745
Practice Address - Country:US
Practice Address - Phone:412-882-6020
Practice Address - Fax:412-882-7139
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006871L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA39-6534Medicare PIN