Jennifer Slavo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06006320A Issued in IN

Practice address

3710 Franklin St
Michigan City, IN 46360

Phone

(219) 561-0828

NPI assigned

Aug 24, 2021

Last updated

Aug 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RS Physical Therapy Co

  • Physical Therapist
  • Michigan City, IN
  • NPI 1801432984

  Multi-Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1164199626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607311",
            "telephone_number": "219-561-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "219-561-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "06006320A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "michigancity",
            "affiliation": "N",
            "address_1": "3710 Franklin St",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463607311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harpreet Singh, M.D.
• Kumari S. Singh, M.D
• Justin Sirinek
• Daena Alida Sisk
• Kevin Sison
• Sleep Health Center, Inc
• Smart Physician Systems PC
• Bruce Eric Smith
• Kevin Smith, P.A.
• Suzanne Marie Smith, MSN, RN, CNS, FNP

• Physical Therapist in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.