MR. GRADY T SLACK (DPT) – Physical Therapist, NPI 1194771345

MR. GRADY T SLACK (DPT) is a healthcare provider. based in Webster, New York. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 16909 (NY). The NPI Number for MR. GRADY T SLACK (DPT) is 1194771345

Main info

Male
Name
MR. GRADY T SLACK (DPT)
NPI
1194771345
Phone
(585) 787-0057
Address
480 GRANGER CIRCLE
Enumeration Date
26 May 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. GRADY T SLACK (DPT)

  • 480, Granger Circle, Town of Webster, Monroe County, New York, 14580, United States

    WEBSTER, NY 14580

    Phone: (585) 787-0057

    Type: Mailing

  • 1, Whipple Lane, City of Rochester, Monroe County, New York, 14622, United States

    ROCHESTER, NY 14622

    Phone: (585) 338-3070

    Fax: (585) 336-5014

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 14580)

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Reviews

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Frequently asked questions

Does MR. GRADY T SLACK (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. GRADY T SLACK (DPT) uses 1194771345.
Is MR. GRADY T SLACK (DPT) still practicing?
MR. GRADY T SLACK (DPT) is currently listed as active in the public NPI registry.
What taxonomy line describes MR. GRADY T SLACK (DPT)?
For research purposes, treat MR. GRADY T SLACK (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MR. GRADY T SLACK (DPT) serve?
MR. GRADY T SLACK (DPT)'s listing highlights Webster, New York; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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