Individual provider Active NPI

Lee Slaughter

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1720393622
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60279447 Issued in WA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT60279447WAMDPhysical Therapist
1198721TXMDGeriatric 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.

Verify at the official NPI Registry.