Active NPI
Jacqueline Alisse Slagor, PT, DPT
- Physical Therapist
- Buffalo, NY
National Provider Identifier
1457879058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 037986
- Practice address
- 1031 Michigan Ave
Buffalo, NY 14203 - Phone
- (716) 748-3197
- NPI assigned
- Sep 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 037986 | NY | Primary |
Addresses
Primary practice location
1031 Michigan Ave
Buffalo, NY 14203
Mailing address
189 Dubonnet Dr
Depew, NY 14043
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037986 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504396800000",
"number": "1457879058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 DUBONNET DR",
"city": "DEPEW",
"state": "NY",
"postal_code": "14043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 MICHIGAN AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14203",
"telephone_number": "716-748-3197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAGOR",
"first_name": "JACQUELINE",
"middle_name": "ALISSE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-03",
"last_updated": "2017-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "037986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.