Active NPI
Laura Anne Slater, DPT
- Physical Therapist
- Temecula, CA
National Provider Identifier
1124447487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41159
- Practice address
- 43500 Ridge Park Dr
Temecula, CA 92590-3624 - Phone
- (951) 308-2200
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- 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 | 41159 | CA | Primary |
Addresses
Primary practice location
43500 Ridge Park Dr
Temecula, CA 92590-3624
Mailing address
200 Mercy Circle
Oceanside, CA 92055
Phone (760) 719-3382
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 |
|---|---|---|---|
| 41159 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings PLLC | Physical Therapist | Current | Accepting new patients |
| Atala Rehab Physical Therapy Inc | Past | Accepting new patients |
Locations
6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102
Organizations & group practices 2
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
- Plainfield, IL
- NPI 1689648602
-
- Physical Therapy Clinic/Center
- Carlsbad, CA
- NPI 1881952331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1124447487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-719-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43500 RIDGE PARK DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925903624",
"telephone_number": "951-308-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "LAURA",
"middle_name": "ANNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2022-12-15",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.