Provider Demographics
NPI:1548385651
Name:SALMINEN, ERIK M (RPT)
Entity Type:Individual
Prefix:MR
First Name:ERIK
Middle Name:M
Last Name:SALMINEN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 16TH TEE ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-1952
Mailing Address - Country:US
Mailing Address - Phone:617-821-1756
Mailing Address - Fax:781-342-7946
Practice Address - Street 1:37 16TH TEE ST
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-1952
Practice Address - Country:US
Practice Address - Phone:617-821-1756
Practice Address - Fax:781-342-7946
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11561225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1057121OtherAETNA PROVIDER ID
MAY68315OtherBLUE CROSS PROVIDER ID
MA611494200OtherDOL ACS PROVIDER ID
MA0311227OtherMASSHEALTH PROVIDER ID
MAY68542Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID