National Provider Identifier

Grady T Slack, DPT

Grady T Slack, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 338-3070.

NPI 1194771345Rochester, NYPhysical Therapist

Source: public NPPES record, last updated July 13, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1194771345
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
May 26, 2006
Last Updated
July 13, 2026

Practice Location

  • 1 Whipple Lane
  • Rochester, NY 14622

Phone: (585) 338-3070

Mailing Address

  • 480 Granger Circle
  • Webster, NY 14580

Specialties

  • Physical Therapist (225100000X)

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Biography

Grady T. Slack, DPT, is a Rochester, New York-based physical therapist. Official NPPES records list his Doctor of Physical Therapy credential and New York professional licensure.

Full Record
NPI
1194771345
Entity Type
Individual
Last Name
Slack
First Name
Grady
Middle Name
T
Name Prefix
Mr.
Credential
DPT
Mailing Street Address
480 Granger Circle
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580
Mailing Country
US
Mailing Phone
(585) 787-0057
Practice Street Address
1 Whipple Lane
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14622
Practice Country
US
Practice Phone
(585) 338-3070
Practice Fax
(585) 336-5014
Enumeration Date
May 26, 2006
Last Updated
July 13, 2026
Sex
Male
Sole Proprietor
No
Taxonomies
Physical Therapist (225100000X)