Individual provider Active NPI

Sabrina De Conti Sladek, DPT

  • Physical Therapist
  • Rockville, MD
National Provider Identifier
1902004153
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22276 Issued in MD
Practice address
15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217
Phone
(301) 948-4395
Fax
(301) 407-1860
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22276 MD Primary

Addresses

Primary practice location

15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217

Mailing address

15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217
Phone (301) 948-4395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000052 DC Practitioner - Physical Therapist in Private Practice 2062583560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

20528 Boland Farm Rd
Germantown, MD 20876-4032

20528 Boland Farm Rd
Germantown, MD 20876-4038

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22276MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physical Therapy, Inc. Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 23, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 23, 2020 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

20528 Boland Farm Rd
Ste 111
Germantown, MD 20876
Phone (301) 528-8096

20528 Boland Farm Rd
Ste 211
Germantown, MD 20876
Phone (301) 916-0164

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

15201 Shady Grove Rd
Ste 106
Rockville, MD 20850
Phone (301) 948-4395

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sabrina.sladek.1@8042.direct.athenahealth.com

Organizations & group practices 4

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1902004153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD",
            "address_2": "SUITE 106",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "301-948-4395",
            "fax_number": "301-407-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD",
            "address_2": "SUITE 106",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "301-948-4395",
            "fax_number": "301-407-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADEK",
        "first_name": "SABRINA",
        "middle_name": "DE CONTI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.