MARIE DIANE SLOUGH (PT) – Physical Therapist, NPI 1205915543
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN
Provider Addresses for MARIE DIANE SLOUGH (PT)
1628, West Beardsley Avenue, Elkhart, Elkhart County, Indiana, 46514, United States
ELKHART, IN 465141881
Phone: (574) 293-9420
Type: Mailing
69406 CHRISTIANN CREEK DR
EDWARDSBURG, MI 491128732
Phone: (810) 288-4802
Type: Mailing
282 JOHNSON STREET
GOSHEN, IN 465282746
Phone: (574) 213-6879
Type: Location
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: 2007-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070913000422 | I | Physical Therapist In Private Practice | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46514)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Occupational Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | NH | |
| - | AR | |
| Occupational Therapist In Private Practice | NJ | |
| - | IL | |
| - | TX | |
| Physical Therapist In Private Practice | MA | |
| - | OK | |
| - | OK |
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