Individual provider Active NPI

Aaron Slabach, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • McMinnville, OR
National Provider Identifier
1770150468
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
63928 Issued in OR
Practice address
2025 NE Baker St Ste a
McMinnville, OR 97128-2656
Phone
(503) 435-1900
Fax
(503) 435-1930
NPI assigned
Jun 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 63928 OR Primary

Addresses

Primary practice location

2025 NE Baker St Ste a
McMinnville, OR 97128-2656

Mailing address

2025 NE Baker St Ste a
McMinnville, OR 97128-2656
Phone (503) 435-1900

Other identifiers 1

IdentifierTypeStateIssuer
63928OtherORDOCTOR OF PHYSICAL THERAPY OREGON LICENSE NUMBER

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
63928ORMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1770150468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 NE BAKER ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282656",
            "telephone_number": "503-435-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 NE BAKER ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282656",
            "telephone_number": "503-435-1900",
            "fax_number": "503-435-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLABACH",
        "first_name": "AARON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OR",
            "license": "63928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR OF PHYSICAL THERAPY OREGON LICENSE NUMBER",
            "identifier": "63928",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.