Individual provider Active NPI

Kelly J Slothower, DPT

  • Orthopedic Physical Therapist
  • Bala Cynwyd, PA
National Provider Identifier
1669672184
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.