Active NPI
Jamie Marie Slattery, PTA
- Physical Therapy Assistant
- Royal Palm Beach, FL
National Provider Identifier
1861633190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 21598
- Practice address
- 6901 Okeechobee Blvd
E-2
Royal Palm Beach, FL 33411-2511 - Phone
- (561) 478-3702
- NPI assigned
- Mar 17, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 21598 | FL | Primary |
Addresses
Primary practice location
6901 Okeechobee Blvd
E-2
Royal Palm Beach, FL 33411-2511
Mailing address
6901 Okeechobee Blvd
E-2
Royal Palm Beach, FL 33411-2511
Phone (561) 478-3702
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 |
|---|---|---|---|
| 21598 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Rehabilitation | Past | Accepting new patients | |
| Cora Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
-
- Preferred Provider Organization
- West Palm Beach, FL
- NPI 1104995406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1861633190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 OKEECHOBEE BLVD",
"address_2": "E-2",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334112511",
"telephone_number": "561-478-3702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 OKEECHOBEE BLVD",
"address_2": "E-2",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334112511",
"telephone_number": "561-478-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATTERY",
"first_name": "JAMIE",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-17",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "21598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.