Constance Slater, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1686 Issued in ME

Practice address

10 Hospital Dr
Bridgton Hospital- Rehab Dept
Bridgton, ME 04009-1148

Phone

(207) 647-6144

NPI assigned

Aug 19, 2006

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fryeburg Physical Therapy LLC

  • Physical Therapist
  • Lovell, ME
  • NPI 1710092101
  Authorized official Same address or phone
• Richard Bader Physical Therapy, PA

  • Physical Therapist
  • Norway, ME
  • NPI 1376648303
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1811002298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S LOWER BAY RD",
            "city": "LOVELL",
            "state": "ME",
            "postal_code": "040513536",
            "telephone_number": "207-925-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "address_2": "BRIDGTON HOSPITAL- REHAB DEPT",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091148",
            "telephone_number": "207-647-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "CONSTANCE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286170099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Leduc DMD PLLC
• Grace Anne Sanborn, OTR/L
• Megan Selina Sawyer, BCBA
• Georgia Shanks
• Shilo Annis DMD, PLLC (Mountain View Dentistry)
• Shannon Alyssa Kane Slayton, MD
• Jay W Sprinkle, LCSW
• Stephan L. Hatch, DMD
• Kimberly Ann Struck, LCSW
• Dennis J Sullivan, M.D.

• Physical Therapist in Bridgton, ME
• Providers in Bridgton, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.