Phil Slaughter Physical Therapy & Rehabilitation Specialists, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHIL SLAUGHTER PHYSICAL THERAPY & REHABILITATION SPECIALISTS, LLC

Practice address

125 N Fowler
Oconomowoc, WI 53066

Phone

(262) 337-3047

Fax

(262) 569-9860

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William SlaughterNPI 1437248671

Title

Owner / Physical Therapist

Phone

(262) 337-3047

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Slaughter, PT

  • Physical Therapist
  • Waukesha, WI
  • NPI 1437248671
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144319385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11430",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532110430",
            "telephone_number": "414-962-9070",
            "fax_number": "414-962-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N FOWLER",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "53066",
            "telephone_number": "262-337-3047",
            "fax_number": "262-569-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL SLAUGHTER PHYSICAL THERAPY & REHABILITATION SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "262-337-3047"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40428600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marni Persick, CTN
• Perspective Vision Care LLC
• Cynthia Lee Peters, PHD
• Michelle Lynn Petrie, RN
• Courtney Lauren Pflughoeft, APNP
• Philip M Marden MD SC
• Michael J Phillips, M.D.
• Physical Medicine Institute of Wisconsin
• Stacie A Piacsek, DDS
• Lona Piber

• Physical Therapist in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.