Provider Demographics
NPI:1992751788
Name:SALVO, TODD RONALD (PT)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:RONALD
Last Name:SALVO
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 1:1311 ROUTE 37 W STE 5
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-5049
Mailing Address - Country:US
Mailing Address - Phone:732-998-8965
Mailing Address - Fax:732-569-6981
Practice Address - Street 1:1311 ROUTE 37 W STE 5
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5049
Practice Address - Country:US
Practice Address - Phone:732-244-7004
Practice Address - Fax:732-244-7422
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01036000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ090416Medicare ID - Type Unspecified