Individual provider Active NPI

Slater Nolan, DPT

  • Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1336904952
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
857 Promenade Walk
Fort Mill, SC 29708-6992
Phone
(803) 547-1133
Fax
(803) 543-1213
NPI assigned
Feb 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12558 SC
Physical Therapist 225100000X Primary

Addresses

Primary practice location

857 Promenade Walk
Fort Mill, SC 29708-6992

Mailing address

8918 Blakeney Professional Dr Ste 120
Charlotte, NC 28277-6692
Phone (704) 900-8960

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

OrganizationSpecialtyStatusNew patients
Architech Sports and Physical Therapy, LLC Physical Therapist CurrentSince Feb 13, 2024 Accepting new patients
Architech Sports and Physical Therapy, LLC PastSince Feb 13, 2024 Accepting new patients

Locations

1429 Bryant St
Ste A
Charlotte, NC 28208
Phone (704) 919-0867

8918 Blakeney Professional Dr
Ste 120
Charlotte, NC 28277
Phone (704) 609-0357

857 Promenade Walk
Fort Mill, SC 29708
Phone (803) 547-1133

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.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1336904952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 BLAKENEY PROFESSIONAL DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776692",
            "telephone_number": "704-900-8960",
            "fax_number": "704-817-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 PROMENADE WALK",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086992",
            "telephone_number": "803-547-1133",
            "fax_number": "803-543-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "SLATER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12558",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.