Individual provider Active NPI

Lady Slagle

  • Physical Therapist
  • Juneau, AK
National Provider Identifier
1366072514
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-146 Issued in GU
Practice address
3220 Hospital Dr
Juneau, AK 99801-7899
Phone
(907) 364-2668
Fax
(907) 586-0198
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 PT-146 GU Primary

Addresses

Primary practice location

3220 Hospital Dr
Juneau, AK 99801-7899

Mailing address

8500 Mendenhall Loop Rd
Juneau, AK 99801-9218
Phone (907) 419-8640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200422001359 GU Practitioner - Physical Therapist in Private Practice 5991135568
I20251016004804 AK Practitioner - Physical Therapist in Private Practice 5991135568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juneau Bone and Joint Center LLCGroup PAC ID 7214038157, 15 clinicians

Practice addresses (Care Compare)

3220 Hospital Dr
Suite 101
Juneau, AK 99801-7899
Phone (907) 364-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-146GUMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Juneau Bone & Joint Center, LLC. CurrentSince Sep 1, 2025 Accepting new patients
Newgen Aesthetics & Wellness, LLC Physical Therapist CurrentSince May 27, 2024 Accepting new patients
Newgen Aesthetics & Wellness, LLC Physical Therapist CurrentSince May 27, 2024 Accepting new patients
Juneau Aesthetics & Wellness LLC CurrentSince Sep 14, 2025 Accepting new patients
Pleasants Integrative Health Consultants CurrentSince Sep 1, 2025 Accepting new patients

Locations

3220 Hospital Dr
Juneau, AK 99801
Phone (907) 364-2663

3220 Hospital Dr
Ste 101
Juneau, AK 99801
Phone (907) 364-2663

8390 Airport Blvd
Ste 203
Juneau, AK 99801
Phone (907) 523-7979

643 Chalan San Antonio
Ste 108
Tamuning, GU 96913
Phone (671) 735-8000

Organizations & group practices 5

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1366072514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 MENDENHALL LOOP RD",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019218",
            "telephone_number": "907-419-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017899",
            "telephone_number": "907-364-2668",
            "fax_number": "907-586-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "LADY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GU",
            "license": "PT-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.