Individual provider Active NPI

Aimee Slattery, PT, MS, CSCS

  • Sports Physical Therapist
  • Cranberry TWP, PA
National Provider Identifier
1043581507
Registry record updated Jan 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT021258 Issued in PA
Practice address
290 Executive Dr
Unit #103
Cranberry TWP, PA 16066-6436
Phone
(724) 612-4744
NPI assigned
Jan 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT021258 PA Primary

Addresses

Primary practice location

290 Executive Dr
Unit #103
Cranberry TWP, PA 16066-6436

Mailing address

290 Executive Dr
Unit #103
Cranberry TWP, PA 16066-6436
Phone (724) 612-4744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT021258PAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Now LLC Past Accepting new patients

Organizations & group practices 1

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": "1326499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326499200000",
    "number": "1043581507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 EXECUTIVE DR",
            "address_2": "UNIT #103",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666436",
            "telephone_number": "724-612-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 EXECUTIVE DR",
            "address_2": "UNIT #103",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666436",
            "telephone_number": "724-612-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "AIMEE",
        "name_prefix": "Mrs.",
        "credential": "PT, MS, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-14",
        "last_updated": "2012-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "PA",
            "license": "PT021258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.