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

Nathan Louis Slade

Individual provider Physical Therapy Assistant · NPI 1356952865

Nathan Louis Slade is a Physical Therapy Assistant in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020

Practice location Address checks out

10701 Main St
Fairfax, VA 22030-6904
Phone: (703) 273-7705
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306605670 (VA)

Record details

NPI number1356952865
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2020
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020
Mailing address2911 Deer Hollow Way Unit 418, Fairfax, VA 22031-6048

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