Individual provider Active NPI

David Brian Slaughter, PT

  • Orthopedic Physical Therapist
  • Kyle, TX
National Provider Identifier
1841300746
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1135069 Issued in TX
Practice address
5695 Kyle Pkwy
Ste 140
Kyle, TX 78640-6442
Phone
(512) 268-0140
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Sports Physical Therapist 2251S0007X 1135069 TX
Rehabilitation Practitioner 225400000X 1135069 TX
Orthopedic Physical Therapist 2251X0800X 1135069 TX Primary

Addresses

Primary practice location

5695 Kyle Pkwy
Ste 140
Kyle, TX 78640-6442

Mailing address

2900 Wadsworth Way
Austin, TX 78748-1231
Phone (512) 944-6401

Other identifiers 1

IdentifierTypeStateIssuer
1135069OtherTXLICENSE #

Other names 1

  • Brian Slaughter Professional name

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
1135069TXMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Rehabilitation Centre PC Physical Therapist PastSince May 28, 2009 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients
Chris Barras DC P C Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1841300746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WADSWORTH WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787481231",
            "telephone_number": "512-944-6401",
            "fax_number": "512-268-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5695 KYLE PKWY",
            "address_2": "STE 140",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406442",
            "telephone_number": "512-268-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1135069",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "TX",
            "license": "1135069",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1135069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "1135069",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "SLAUGHTER",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.