Active NPI
Jessica Slette, PT, DPT
- Physical Therapist
- Tustin, CA
National Provider Identifier
1821556994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 296315
- Practice address
- 13931 Carroll Way Ste B
Tustin, CA 92780-1861 - Phone
- (714) 988-8120
- Fax
- (714) 988-8119
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 296315 | CA | Primary |
Addresses
Primary practice location
13931 Carroll Way Ste B
Tustin, CA 92780-1861
Mailing address
3230 E Imperial Hwy Ste 100
Brea, CA 92821-6735
Phone (714) 988-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1821556994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 E IMPERIAL HWY STE 100",
"city": "BREA",
"state": "CA",
"postal_code": "928216735",
"telephone_number": "714-988-8110",
"fax_number": "714-988-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13931 CARROLL WAY STE B",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801861",
"telephone_number": "714-988-8120",
"fax_number": "714-988-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLETTE",
"first_name": "JESSICA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.