Individual provider Active NPI

Kevin Andrew Slowik, DPT, PT

  • Physical Therapist
  • Watsonville, CA
National Provider Identifier
1003648635
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307463 Issued in CA
Practice address
40 Penny LN Ste 4
Watsonville, CA 95076-6008
Phone
(831) 763-4444
NPI assigned
Aug 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6924 ME
Physical Therapist 225100000X LPT-033842 AZ
Physical Therapist 225100000X 307463 CA Primary

Addresses

Primary practice location

40 Penny LN Ste 4
Watsonville, CA 95076-6008

Mailing address

1467 Gridley Ave NW
Grand Rapids, MI 49534-2409

Other practice location 1

248 State St Ste 3A
Ellsworth, ME 04605-1850
Phone (207) 667-4278

Other practice location 2

3305 N Swan Rd Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240822001770 ME Practitioner - Physical Therapist in Private Practice 2567901515 Reassigns benefits to 1 organization
I20250106001118 AZ Practitioner - Physical Therapist in Private Practice 2567901515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-033842AZMDPhysical Therapist
307463CAMDPhysical Therapist
PT6924MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Oct 12, 2024 Accepting new patients
Back in Motion Physical Therapy, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Oct 12, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist Past Accepting new patients

Locations

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

10550 N La Canada Dr
Ste 160
Tucson, AZ 85737
Phone (520) 547-2476

1680 W Irvington Rd
Tucson, AZ 85746

8770 N Thornydale Rd
Ste 100
Tucson, AZ 85742
Phone (520) 742-7107

7575 W Twin Peaks Rd
Ste 155
Tucson, AZ 85743
Phone (520) 290-1665

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

7601 N Oracle Rd
Ste 101
Tucson, AZ 85704
Phone (520) 293-5551

8820 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 829-7741

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

248 State St
Ste 3A
Ellsworth, ME 04605
Phone (207) 667-4278

94 Main St
Gorham, ME 04038
Phone (207) 839-5225

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1003648635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 GRIDLEY AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495342409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PENNY LN STE 4",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766008",
            "telephone_number": "831-763-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 State St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046051850",
            "country_code": "US",
            "telephone_number": "207-667-4278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3305 N Swan Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85712",
            "country_code": "US",
            "telephone_number": "520-321-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOWIK",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6924",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033842",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.