JOAQUIN IVAN PASQUEL SALCEDO PT
NPI 1104702711
Physical Therapist in Edwardsville, IL

Active since August 12, 2025
2133 S STATE ROUTE 157, EDWARDSVILLE, IL 62025(618) 650-8337 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2026, Aug 12, 2025 (2 updates tracked since 2025).

About Joaquin Ivan Pasquel Salcedo Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOAQUIN IVAN PASQUEL SALCEDO PT (NPI 1104702711) is an individual physical therapist in Edwardsville, Illinois, licensed in Missouri (2025050001) and active in the NPI registry since August 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1104702711
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJOAQUIN IVAN PASQUEL SALCEDOCredential: PT
Location Address2133 S STATE ROUTE 157Edwardsville, IL 62025-3607
Mailing Address3016 Hh RdWaterloo, IL 62298-5204 · (602) 754-9156
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 12, 2025
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
NPI 1104702711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in MO · 2025050001 Licensed in IL · 070.029269
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2133 S STATE ROUTE 157, Edwardsville, IL 62025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joaquin Ivan Pasquel Salcedo Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012493943
PECOS Enrollment IDI20260110000316

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
2133 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Physical Therapist
2133 S STATE ROUTE 157
EDWARDSVILLE, IL 62025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joaquin Pasquel Salcedo's NPI number?

The NPI number for Joaquin Pasquel Salcedo is 1104702711. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Joaquin Pasquel Salcedo located?

Joaquin Pasquel Salcedo practices at 2133 S State Route 157, Edwardsville, IL 62025. The listed phone number is (618) 650-8337.

What is Joaquin Pasquel Salcedo's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Joaquin Pasquel Salcedo enrolled in Medicare?

Yes. Joaquin Pasquel Salcedo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joaquin Pasquel Salcedo was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.