Ann F Slack, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17203 Issued in MA

Practice address

29 Church St
Lake Placid, NY 12946-1805

Phone

(518) 523-8580

Fax

(518) 523-7889

NPI assigned

Nov 10, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Deer Crossing Physical Therapy, Inc

  • Physical Therapist
  • S Yarmouth, MA
  • NPI 1487604682
  NPD (past)
• Singleton Chiropractic Offices, PC

  • Chiropractor
  • Dennis, MA
  • NPI 1881607174
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851372387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHURCH ST",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461805",
            "telephone_number": "518-523-8580",
            "fax_number": "518-523-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CHURCH ST",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461805",
            "telephone_number": "518-523-8580",
            "fax_number": "518-523-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "ANN",
        "middle_name": "F",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Schoonover, D.D.
• Emma Schum, OTR/L
• David Seguin, M.A., C.A.S.
• Susan Skinner, MA, BE-NCC
• Caitlin Skufca, OTR/L
• Jennifer Rebecca Small, O.D.
• Daniel Steven Smith, ATC
• William James Smith, MD
• Sharon Marie Sommers, MS
• Bradford A Stephens, MD

• Physical Therapist in Lake Placid, NY
• Providers in Lake Placid, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.