Active NPI
Brian C Slinde, DPT
- Physical Therapist
- Rockford, IL
National Provider Identifier
1104928910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070011604
- Practice address
- 324 Roxbury Rd
Rockford, IL 61107-5090 - Phone
- (815) 398-9491
- Fax
- (815) 381-7498
- NPI assigned
- Sep 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070011604 | IL | Primary |
Addresses
Primary practice location
324 Roxbury Rd
Rockford, IL 61107-5090
Mailing address
PO Box 735263
Chicago, IL 60673-5263
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1623066 | Other | IL | BCBS PROVIDER # |
| 650022980 | Other | IL | R.R. MEDICARE PIN |
| CJ8115 | Other | IL | R.R. MEDICARE GROUP # |
| 1619908 | Other | IL | BCBS IL GROUP NUMBER |
| 367885100 | Other | IL | US DEPT OF LABOR # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Slinde.Brian@ro.eclinicaldirect.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- brian.slinde@ro.eclinicaldirectplus.com
- slinde.brian@ro.eclinicaldirect.com
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
- Westmont, IL
- NPI 1205875713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1104928910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735263",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075090",
"telephone_number": "815-398-9491",
"fax_number": "815-381-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLINDE",
"first_name": "BRIAN",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070011604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "1623066",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE PIN",
"identifier": "650022980",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE GROUP #",
"identifier": "CJ8115",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL GROUP NUMBER",
"identifier": "1619908",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR #",
"identifier": "367885100",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Slinde.Brian@ro.eclinicaldirect.com",
"affiliation": "N",
"endpointDescription": "eCW email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "324 Roxbury Rd",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611075090",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.