Individual provider Active NPI

Jennifer Rose Sligo, DPT

  • Sports Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1740884394
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Practice address
258 Lombard St Ste 100
Thousand Oaks, CA 91360-5806
Phone
(805) 277-0626
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X Primary

Addresses

Primary practice location

258 Lombard St Ste 100
Thousand Oaks, CA 91360-5806

Mailing address

5346 Cherry Ridge Dr
Camarillo, CA 93012-5508
Phone (818) 517-0850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128000870 CA Practitioner - Physical Therapist in Private Practice 0446664767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Pro X Physical Therapy PCGroup PAC ID 0547508467, 5 clinicians

Practice addresses (Care Compare)

30851 Agoura Rd
Suite 300
Agoura Hills, CA 91301-4346
Phone (818) 532-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro X Physical Therapy PC CurrentSince Nov 14, 2022 Accepting new patients

Locations

30851 Agoura Rd
Ste 300
Agoura Hills, CA 91301
Phone (818) 532-7600

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1740884394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5346 CHERRY RIDGE DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125508",
            "telephone_number": "818-517-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 LOMBARD ST STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605806",
            "telephone_number": "805-277-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIGO",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.