Individual provider Active NPI

Tracy Dawn Slaughter, MSPT

  • Physical Therapist
  • Longwood, FL
National Provider Identifier
1689430274
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12677 Issued in FL
Practice address
398 Freeman St
Longwood, FL 32750-4171
Phone
(407) 682-3600
Fax
(407) 682-7400
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 PT12677 FL Primary

Addresses

Primary practice location

398 Freeman St
Longwood, FL 32750-4171

Mailing address

198 Blue Flax PT
Longwood, FL 32750-3467
Phone (407) 782-7849

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

State licenses

LicenseStateTypeSpecialty
PT12677FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare of Central Florida, LLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Lifecare of Central Florida, LLC PastSince Feb 25, 2024 Accepting new patients

Locations

398 Freeman St
Longwood, FL 32750
Phone (407) 682-3600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1689430274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 BLUE FLAX PT",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327503467",
            "telephone_number": "407-782-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 FREEMAN ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504171",
            "telephone_number": "407-682-3600",
            "fax_number": "407-682-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "TRACY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.