Organization Active NPI

Slavin Physical Therapy LLC

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1073351185
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SLAVIN PHYSICAL THERAPY LLC
Practice address
20820 N 25TH PL Ste 104
Phoenix, AZ 85050-4618
Phone
(602) 510-8704
NPI assigned
Jul 15, 2024
Organization subpart
Yes
Parent organization
SLAVIN PHYSICAL THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Meghan Slavin, PT, DPTNPI 1598193542
Title
Physical Therapist
Phone
(602) 510-8704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

20820 N 25TH PL Ste 104
Phoenix, AZ 85050-4618

Mailing address

2318 W Tallgrass TRL
Phoenix, AZ 85085-2757

Other names 1

  • Ultra Performance Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Slavin Physical Therapy LLC

Locations

20820 N 25th Pl
Ste 104
Phoenix, AZ 85050
Phone (602) 510-8704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1073351185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 W TALLGRASS TRL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20820 N 25TH PL STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504618",
            "telephone_number": "602-510-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLAVIN PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SLAVIN PHYSICAL THERAPY LLC",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "SLAVIN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "602-510-8704",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Performance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.