Kathy Vivian Slaka, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

0185651 Issued in NY

Practice address

310 Old Country Rd Ste 104
Garden City, NY 11530-1763

Phone

(516) 741-7000

NPI assigned

Oct 31, 2006

Last updated

Nov 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wish Physical and Massage Therapies, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Huntington, NY
  • NPI 1205132602

  Orthopedic

  NPD (past) Authorized official
• Rom on the Run Physical Therapy, PC

  • Physical Therapist
  • East Northport, NY
  • NPI 1740455633
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1164508115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 OLD COUNTRY RD STE 104",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301763",
            "telephone_number": "516-741-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 W 73rd St",
            "address_2": "1A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100232916",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAKA",
        "first_name": "KATHY",
        "middle_name": "VIVIAN",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "0185651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lotika Singh, M.D.
• Karen Ann Singleton, LCSW
• Gregory H Sirounian, MD
• Devora Sklar
• Ronald Skop
• Alma Mae Small, LPN
• Deborah A. Smith
• Eric Smith, LCSW
• Kenneth Albert Smith, PH.D.
• Madeline Smith

• Orthopedic Physical Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.