Provider Demographics
NPI:1205809290
Name:SALVA, JOHN F (PT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:SALVA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:239 NORTHERN BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:SOUTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9302
Mailing Address - Country:US
Mailing Address - Phone:570-319-6903
Mailing Address - Fax:570-416-2807
Practice Address - Street 1:276 E GROVE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CLARKS GREEN
Practice Address - State:PA
Practice Address - Zip Code:18411-1723
Practice Address - Country:US
Practice Address - Phone:570-319-6903
Practice Address - Fax:570-796-5056
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12906225100000X
PAPT012829L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA064856PV9Medicare PIN