MARK SLAUGHTER PC – Physical Therapist, NPI 1922129352

MARK SLAUGHTER PC is a healthcare provider. based in Edwardsville, Illinois. specializing in Physical Therapist. The NPI Number for MARK SLAUGHTER PC is 1922129352

Main info

Organization
Name
MARK SLAUGHTER PC
NPI
1922129352
Phone
(618) 656-5433
Address
219 2ND AVE
Authorized Official
MARK SLAUGHTER PHYSICAL THERAPIST OWNER P. T.
Enumeration Date
3 April 2007
Last Update Date
1 February 2008
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

Provider Addresses for MARK SLAUGHTER PC

  • 219 2ND AVE

    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)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (893 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
O20071227000237OClinic/Group PracticeIL2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62025)

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Reviews

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Frequently asked questions

What is the standard ID for MARK SLAUGHTER PC in the U.S.?
In the U.S., MARK SLAUGHTER PC is identified by NPI 1922129352.
Does the public listing show MARK SLAUGHTER PC as active?
MARK SLAUGHTER PC's NPI record reflects an active status in NPPES.
What services align with MARK SLAUGHTER PC's listing?
MARK SLAUGHTER PC's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MARK SLAUGHTER PC?
The directory associates MARK SLAUGHTER PC with Edwardsville, Illinois. Check all listed addresses for suites or satellite offices.
Can I export MARK SLAUGHTER PC's record?
You can download the official NPPES record; we summarize key fields for readability.

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