Individual provider Active NPI

Modi Magid-Slav, MPT

  • Physical Therapist
  • King of Prussia, PA
National Provider Identifier
1922297571
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015420 Issued in PA
Practice address
610 General Armstrong Rd
King of Prussia, PA 19406-1642
Phone
(610) 203-4917
Fax
(215) 750-4328
NPI assigned
Oct 19, 2007
Last updated
Feb 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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 PT015420 PA Primary

Addresses

Primary practice location

610 General Armstrong Rd
King of Prussia, PA 19406-1642

Mailing address

610 General Armstrong Rd
King of Prussia, PA 19406-1642
Phone (610) 203-4917

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

LicenseStateTypeSpecialty
PT015420PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Master Care Rehabilitation, PC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1922297571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GENERAL ARMSTRONG RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061642",
            "telephone_number": "610-203-4917",
            "fax_number": "215-750-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GENERAL ARMSTRONG RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061642",
            "telephone_number": "610-203-4917",
            "fax_number": "215-750-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGID-SLAV",
        "first_name": "MODI",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.