Active NPI
Paul Gregory Slocum, PT
- Orthopedic Physical Therapist
- Plains, PA
National Provider Identifier
1083795447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT002739L
- Practice address
- 1086 Route 315
Plains, PA 18702 - Phone
- (570) 823-7761
- Fax
- (570) 822-8033
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 513A | PA | |
| Orthopedic Physical Therapist | 2251X0800X | PT002739L | PA | Primary |
Addresses
Primary practice location
1086 Route 315
Plains, PA 18702
Mailing address
1086 Route 315
Pro Rehabilitation Services
Plains, PA 18702
Phone (570) 823-7761
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 821142 | Other | FIRST PRIORITY | |
| 1918181 | Other | BLUE SHIELD | |
| 820864 | Other | FIRST PRIORITY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 513A | PA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieva Rehabilitation 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.
-
- Physical Therapist
- Frackville, PA
- NPI 1689981573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1083795447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 ROUTE 315",
"address_2": "PRO REHABILITATION SERVICES",
"city": "PLAINS",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-823-7761",
"fax_number": "570-822-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 ROUTE 315",
"city": "PLAINS",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-823-7761",
"fax_number": "570-822-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOCUM",
"first_name": "PAUL",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "513A",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT002739L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "821142",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1918181",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "820864",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Plains, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.