Individual provider Active NPI

Cynthe Slaybaugh, M.S., P.T.

  • Physical Therapist
  • Tumwater, WA
National Provider Identifier
1356498026
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00006724 Issued in WA
Practice address
4833 Tumwater Valley Dr SE
Tumwater, WA 98501-4583
Phone
(360) 352-3400
Fax
(360) 956-7068
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00006724 WA Primary

Addresses

Primary practice location

4833 Tumwater Valley Dr SE
Tumwater, WA 98501-4583

Mailing address

3213 83Rd Ave SW
Olympia, WA 98512-7508
Phone (360) 352-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005002703 WA Practitioner - Physical Therapist in Private Practice 2466704200 Practice locations: Tumwater, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11238 Emily LN SW
Olympia, WA 98512-9387

4833 Tumwater Valley Dr SE
Tumwater, WA 98501-4583
Phone (360) 481-2516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT00006724WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The V Spa Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356498026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 83RD AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985127508",
            "telephone_number": "360-352-3400",
            "fax_number": "360-956-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 TUMWATER VALLEY DR SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014583",
            "telephone_number": "360-352-3400",
            "fax_number": "360-956-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYBAUGH",
        "first_name": "CYNTHE",
        "credential": "M.S., P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.