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

Rebecca Slack, PT, DPT

Individual provider Physical Therapist · NPI 1891364113

Rebecca Slack, PT, DPT is a Physical Therapist in Private Practice in Fairmont, West Virginia. Qualified in 2019, 7 years ago. Practices with Country Roads Physical Therapy and Rehabilitation, a 28-clinician group and accepts Medicare assignment. Licensed in Ohio and West Virginia.

Years since qualifying
7
Licensed in
OH, WV
In the registry since
2021
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1031 Morgantown Ave
Fairmont, WV 26554-4355
Phone: (304) 363-0050
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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 004415 (WV)
Physical Therapist Taxonomy 225100000X · Licence 018457 (OH)

Record details

NPI number1891364113
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing address7112 Chadwood Ln Apt 2c, Columbus, OH 43235-3905

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Country Roads Physical Therapy And Rehabilitation — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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