Active NPI
Slootsky Physical Medicine & Rehabilitation, PC
- Physical Medicine & Rehabilitation Physician
- Modesto, CA
National Provider Identifier
1366323032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- SLOOTSKY PHYSICAL MEDICINE & REHABILITATION, PC
- Practice address
- 1303 Mable Ave
Modesto, CA 95355-1119 - Phone
- (209) 857-3400
- NPI assigned
- Sep 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Slootsky, DO
- Title
- Physician/Owner
- Phone
- (561) 702-4012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1303 Mable Ave
Modesto, CA 95355-1119
Mailing address
2365 Le Conte Ave Apt B
Berkeley, CA 94709-1360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Modesto, CA
- NPI 1861067985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757462400000",
"number": "1366323032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 LE CONTE AVE APT B",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 MABLE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551119",
"telephone_number": "209-857-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLOOTSKY PHYSICAL MEDICINE & REHABILITATION, PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-10",
"last_updated": "2025-09-10",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "SLOOTSKY",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "561-702-4012",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.