Active NPI
Kelly J Slothower, DPT
- Orthopedic Physical Therapist
- Bala Cynwyd, PA
National Provider Identifier
1669672184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 150 Monument Rd Ste 110
Bala Cynwyd, PA 19004-1725 - Phone
- (484) 268-1350
- Fax
- (484) 268-1351
- NPI assigned
- Jul 23, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10002778 | DE | |
| Sports Physical Therapist | 2251S0007X | 10613 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
150 Monument Rd Ste 110
Bala Cynwyd, PA 19004-1725
Mailing address
910 Foulk Rd
Suite 100
Wilmington, DE 19803-3158
Phone (302) 477-1536
Other practice location 1
910 Foulk Rd
Suite 100
Wilmington, DE 19803-3158
Phone (302) 477-1536
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669672184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 FOULK RD",
"address_2": "SUITE 100",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033158",
"telephone_number": "302-477-1536",
"fax_number": "302-477-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MONUMENT RD STE 110",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041725",
"telephone_number": "484-268-1350",
"fax_number": "484-268-1351"
}
],
"practiceLocations": [
{
"address_1": "910 Foulk Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198033158",
"country_code": "US",
"telephone_number": "302-477-1536",
"fax_number": "302-477-1564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLOTHOWER",
"first_name": "KELLY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10002778",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NC",
"license": "10613",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.