Individual provider Active NPI

Elya Farias Slavich

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1598425035
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9980 W Glendale Ave Ste 110
Glendale, AZ 85307-3005
Phone
(623) 242-6908
NPI assigned
Dec 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2021

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 Primary

Addresses

Primary practice location

9980 W Glendale Ave Ste 110
Glendale, AZ 85307-3005

Mailing address

9980 W Glendale Ave Ste 110
Glendale, AZ 85307-3005
Phone (623) 242-6908

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1640304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640304000000",
    "number": "1598425035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 W GLENDALE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073005",
            "telephone_number": "623-242-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 W GLENDALE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073005",
            "telephone_number": "623-242-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIAS SLAVICH",
        "first_name": "ELYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-24",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2021; 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.