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

Mr. Mark S Slaughter, PT

Individual provider Physical Therapist · NPI 1912009739

Mr. Mark S Slaughter, PT is a Physical Therapist in Private Practice in Edwardsville, Illinois. Graduated from Saint Louis University School of Medicine in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
33
Trained at
Saint Louis University School of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

219 2nd Ave Ste C
Edwardsville, IL 62025-2556
Phone: (618) 656-5433
Fax: (618) 656-5437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1912009739
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 2, 2006
Last updated in NPPESFebruary 1, 2008
Mailing address219 2nd Ave., Suite C, Edwardsville, IL 62025-2556

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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