MR. MARK S SLAUGHTER (PT) – Physical Therapist, NPI 1912009739

MR. MARK S SLAUGHTER (PT) is a healthcare provider. based in Edwardsville, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for MR. MARK S SLAUGHTER (PT) is 1912009739

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK S SLAUGHTER (PT)
NPI
1912009739
Phone
(618) 656-5433
Address
219 2ND AVE.
Enumeration Date
2 September 2006
Last Update Date
1 February 2008

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6186565433
Graduation Year
1993 (33 years ago)
PAC ID
9436239720
Professional Enrollment ID
I20071227000227
Address ID
IL620252598ED219XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MR. MARK S SLAUGHTER (PT)

  • 219, 2nd Avenue, Edwardsville, Madison County, Illinois, 62025, United States

    SUITE C

    EDWARDSVILLE, IL 620252556

    Phone: (618) 656-5433

    Fax: (618) 656-5437

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071227000227IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,94440$0
97162Evaluation for physical therapy, typically 30 minutes3130$0
View full utilization report →

Insurance plans in this area (ZIP 62025)

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Provider's Procedures

MR. MARK S SLAUGHTER (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes186168

Reviews

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Frequently asked questions

Can I verify MR. MARK S SLAUGHTER (PT) with an NPI only?
You can start verification with NPI 1912009739 for MR. MARK S SLAUGHTER (PT), then check state licensing separately.
Is MR. MARK S SLAUGHTER (PT) still practicing?
MR. MARK S SLAUGHTER (PT) is currently listed as active in the public NPI registry.
What healthcare role does MR. MARK S SLAUGHTER (PT) hold?
Scheduling teams often label MR. MARK S SLAUGHTER (PT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MARK S SLAUGHTER (PT)?
MR. MARK S SLAUGHTER (PT)'s geographic hint is Edwardsville, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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MARK SLAUGHTER PC

Physical Therapist
219 2ND AVE
NPI: 1922129352