Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ian Michael Slattery, DPT

Individual provider Physical Therapist · NPI 1972823607

Ian Michael Slattery, DPT is registered under 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 Not confirmed with CMS for 12 years — call before visiting
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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients49
Services billed 2,045 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Jackson Clinics Limited Partnership

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 115 clinicians in the practice; 12 are shown here.

Other providers in Herndon