Active NPI
Sean Charles Slaughter, OTR/L
- Pediatric Occupational Therapist
- Columbus, GA
National Provider Identifier
1063718286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT002478
- Practice address
- 4 Bradley Park CT
Columbus, GA 31904-3638 - Phone
- (706) 221-0112
- Fax
- (706) 221-0114
- NPI assigned
- Feb 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT002478 | GA | Primary |
Addresses
Primary practice location
4 Bradley Park CT
Columbus, GA 31904-3638
Mailing address
4 Bradley Park CT
Columbus, GA 31904-3638
Phone (706) 221-0112
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT002478 | GA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1063718286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BRADLEY PARK CT",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319043638",
"telephone_number": "706-221-0112",
"fax_number": "706-221-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BRADLEY PARK CT",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319043638",
"telephone_number": "706-221-0112",
"fax_number": "706-221-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAUGHTER",
"first_name": "SEAN",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-04",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT002478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.