Healthcare Provider Details

I. General information

NPI: 1952288177
Provider Name (Legal Business Name): REBECCA SLOCUMB DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S BERETANIA ST STE C204
HONOLULU HI
96813-2222
US

IV. Provider business mailing address

42 HAMPTON HALL BLVD
BLUFFTON SC
29910-7822
US

V. Phone/Fax

Practice location:
  • Phone: 808-990-9011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1391864
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number1391864
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: