Individual provider Active NPI

Kathryn Ludlow Slater, DPT

  • Physical Therapist
  • Lansdowne, PA
National Provider Identifier
1922546373
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025824 Issued in PA
Practice address
30 W Baltimore Ave
Lansdowne, PA 19050-2101
Phone
(610) 626-0080
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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 PT025824 PA Primary

Addresses

Primary practice location

30 W Baltimore Ave
Lansdowne, PA 19050-2101

Mailing address

3100 Eastonbury CT
Colleyville, TX 76034-4782
Phone (817) 913-5826

Other names 1

  • Miss Kathryn Ladelle Ludlow Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025824PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 11, 2018 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 11, 2018 Accepting new patients
Core Rehabilitation PastSince May 1, 2017 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

4843 Colleyville Blvd
Ste 221
Colleyville, TX 76034
Phone (817) 576-7520

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

Organizations & group practices 3

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1922546373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 EASTONBURY CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344782",
            "telephone_number": "817-913-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W BALTIMORE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502101",
            "telephone_number": "610-626-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "KATHRYN",
        "middle_name": "LUDLOW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "LUDLOW",
            "middle_name": "LADELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansdowne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.