Debra Jayne Slater

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11093 Issued in CA

Practice address

2865 Atlantic Ave #117
Long Beach, CA 90806

Phone

(562) 424-3090

NPI assigned

May 2, 2007

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 and National Provider Directory roles.

• Southern Mono Health Care District

  dba Mammoth Hospital

  • Critical Access Hospital Clinic/Center
  • Mammoth Lakes, CA
  • NPI 1962444059
  NPD
• West Star Physical Therapy Network

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1558582759
  NPD (past)
• West Star Physical Therapy, Inc.

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1376764571
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447471644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 ORANGE AVE #215",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE #117",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-424-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "DEBRA",
        "middle_name": "JAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "11093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylight Convalescent Hospital Corporation (Skylight Convalescent Hospital)
• SL Health Inc
• Theresa Slader, RPH
• Christine Lynne Slagle, LCSW
• Kelly Jean Slater-Degree, RN, MSN, FNP
• Jessica Anne Slaton, RD
• Gwendolyn Jean Slattery
• Suejung Estella Slay
• Kristen Ariana Slayton
• Sleepmed of California

• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.