Charles L Slaughter, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0161 Issued in MS

Practice address

820 Cooper Rd
Suite J
Jackson, MS 39212-4099

Phone

(601) 372-9229

Fax

(601) 372-9990

NPI assigned

Dec 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Rehabilitation Consultants

  • Physical Therapist
  • Jackson, MS
  • NPI 1609127083
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912068552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7296",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392827296",
            "telephone_number": "601-372-9229",
            "fax_number": "601-372-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 COOPER RD",
            "address_2": "SUITE J",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392124099",
            "telephone_number": "601-372-9229",
            "fax_number": "601-372-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT0161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00489050",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Stanley Skousen, MD
• Megan Egbert Slade, F.N.P.
• Angela Slater, AGNP, C
• Angela Slater, LPN-230804
• Marquise Slator
• Audie Caroline Hayman Slay, MD
• William Tanner Slay
• Catherine Carter Sledge, D.M.D.
• Jonathan Christopher Sledge, M.D.
• Sleep Solutions, LLC (Jackson Sleep Lab)

• Physical Therapist in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapist in Mississippi

• 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.