Active NPI
Rebecca Lynn Slocum, PT, DPT
- Physical Therapist
- Waterbury, CT
National Provider Identifier
1821114679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008114
- Practice address
- 177 Whitewood Rd
Waterbury, CT 06708-1545 - Phone
- (716) 864-5753
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029094 | NY | |
| Physical Therapist | 225100000X | 22179 | MD | |
| Physical Therapist | 225100000X | PT018696 | PA | |
| Physical Therapist | 225100000X | 008114 | CT | Primary |
| Physical Therapist | 225100000X | 23783 | FL |
Addresses
Primary practice location
177 Whitewood Rd
Waterbury, CT 06708-1545
Mailing address
2 Mountainview Ter
Appt. #1331
Danbury, CT 06810-4163
Phone (716) 864-5753
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 |
|---|---|---|---|
| 008114 | CT | MD | Clinical Social Worker |
| 23783 | FL | MD | Physical Therapist |
| 22179 | MD | MD | Physical Therapist |
| 029094 | NY | MD | Physical Therapist |
| PT018696 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211068800000",
"number": "1821114679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MOUNTAINVIEW TER",
"address_2": "APPT. #1331",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104163",
"telephone_number": "716-864-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 WHITEWOOD RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067081545",
"telephone_number": "716-864-5753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOCUM",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2008-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029094",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22179",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018696",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008114",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "23783",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.