Individual provider Active NPI

Jacob Wipf, DPT

  • Physical Therapist
  • Camarillo, CA
National Provider Identifier
1316603004
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301371 Issued in CA
Practice address
231 Camarillo Ranch Rd
Camarillo, CA 93012-5082
Phone
(805) 484-2026
NPI assigned
Nov 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 301371 CA Primary

Addresses

Primary practice location

231 Camarillo Ranch Rd
Camarillo, CA 93012-5082

Mailing address

293 Bent Twig Ave
Camarillo, CA 93012-5189
Phone (805) 312-5374

Other identifiers 1

IdentifierTypeStateIssuer
PT301371OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202002899 CA Practitioner - Physical Therapist in Private Practice 6507256658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4960 Verdugo Way
Camarillo, CA 93012-8632
Phone (805) 765-4773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients

Locations

4960 Verdugo Way
Camarillo, CA 93012
Phone (805) 222-4731

231 Camarillo Ranch Rd
Ste B
Camarillo, CA 93012
Phone (805) 484-2026

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1316603004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 BENT TWIG AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125189",
            "telephone_number": "805-312-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CAMARILLO RANCH RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125082",
            "telephone_number": "805-484-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIPF",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "PT301371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.