Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian Michael Slattery, DPT

Individual provider Physical Therapist · NPI 1972823607

Ian Michael Slattery, DPT is a Physical Therapist in Private Practice in Herndon, Virginia. Qualified in 2010, 16 years ago. Practices with Jackson Clinics Limited Partnership, a 115-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
16
Licensed in
VA
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

13039 Worldgate Dr
Herndon, VA 20170-4374
Phone: (703) 689-3164
Fax: (703) 689-3167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305206441 (VA)

Record details

NPI number1972823607
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 4, 2010
Last updated in NPPESJuly 16, 2014
Mailing addressPo Box 1769, Middleburg, VA 20118-1769

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Jackson Clinics Limited Partnership — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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