Active NPI
Eleah Marie Slovacek, DPT
- Physical Therapist
- Luling, TX
National Provider Identifier
1770833956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1218417
- Practice address
- 200 Memorial Dr
Luling, TX 78648-3213 - Phone
- (830) 875-8500
- Fax
- (830) 875-5029
- NPI assigned
- Sep 14, 2012
- Last updated
- Aug 19, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1218417 | TX | Primary |
Addresses
Primary practice location
200 Memorial Dr
Luling, TX 78648-3213
Mailing address
805 Hazelton St
Apt. B
San Marcos, TX 78666-3187
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1218417 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1770833956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 HAZELTON ST",
"address_2": "APT. B",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786663187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEMORIAL DR",
"city": "LULING",
"state": "TX",
"postal_code": "786483213",
"telephone_number": "830-875-8500",
"fax_number": "830-875-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOVACEK",
"first_name": "ELEAH",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1218417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luling, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.