Active NPI
Lee Slaughter
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1720393622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60279447
- Practice address
- 2101 NE 139TH St Ste 265
Vancouver, WA 98686 - Phone
- (360) 487-2700
- Fax
- (360) 487-2701
- NPI assigned
- Aug 16, 2010
- Last updated
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60279447 | WA | Primary |
| Geriatric Physical Therapist | 2251G0304X | 1198721 | TX |
Addresses
Primary practice location
2101 NE 139TH St Ste 265
Vancouver, WA 98686
Mailing address
PO Box 2077
Portland, OR 97208-2077
Phone (503) 413-3900
Other practice location 1
2512 Brookside Ave
Edmond, OK 73034-4809
Phone (405) 990-9766
Other practice location 2
2512 Brookside Ave
Edmond, OK 73034-4809
Phone (405) 990-9766
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 |
|---|---|---|---|
| PT60279447 | WA | MD | Physical Therapist |
| 1198721 | TX | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1720393622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2077",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972082077",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 NE 139TH ST STE 265",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98686",
"telephone_number": "360-487-2700",
"fax_number": "360-487-2701"
}
],
"practiceLocations": [
{
"address_1": "2512 Brookside Ave",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730344809",
"country_code": "US",
"telephone_number": "405-990-9766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2512 Brookside Ave",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730344809",
"country_code": "US",
"telephone_number": "405-990-9766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLAUGHTER",
"first_name": "LEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-16",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60279447",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1198721",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.