Alexis Slade

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA28448 Issued in FL

Practice address

2005 De Leon Ave
Vero Beach, FL 32960-4169

Phone

(316) 293-8648

NPI assigned

Apr 8, 2019

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Motion Therapeutic Massage, Inc

  • Rehabilitation Clinic/Center
  • Vero Beach, FL
  • NPI 1063571982
  NPD (past)
• Advanced Motion Therapeutic Massage,Inc

  • Massage Therapist
  • Vero Beach, FL
  • NPI 1245363597
  NPD (past)

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1720541824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 DE LEON AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604169",
            "telephone_number": "316-293-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 DE LEON AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604169",
            "telephone_number": "316-293-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Alexander Skaff, M.D.
• Paul Hunter Skaggs, M.D.
• Skin Cancer Center of the Treasure Coast, Inc.
• Mary Therese Skinner, LMHC
• Skypoint Chiropractic, PLLC
• Lauren Elizabeth Sloat, APRN
• SLP Investments, Inc (Perkins Medical Supply)
• SLP Investments, Inc. (Perkins Medical Supply)
• Nancy Small, MS RD L/DN
• Delores S Smead, ARNP

• Physical Therapy Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.