Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joaquin Ivan Pasquel Salcedo, PT

Individual provider Physical Therapist · NPI 1104702711

Joaquin Ivan Pasquel Salcedo, PT is a Physical Therapist in Private Practice in Edwardsville, Illinois. Qualified in 2025, 1 year ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
1
Licensed in
IL, MO
In the registry since
2025
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2133 S State Route 157
Edwardsville, IL 62025-3607
Phone: (618) 650-8337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2025050001 (MO)
Physical Therapist Taxonomy 225100000X · Licence 070.029269 (IL)

Record details

NPI number1104702711
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address3016 Hh Rd, Waterloo, IL 62298-5204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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