Active NPI
Christina Jean Jensen, OT
- Occupational Therapist
- Bloomington, MN
National Provider Identifier
1003517145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106392
- Practice address
- 4801 W 81St St Ste 112
Bloomington, MN 55437-1111 - Phone
- (952) 345-3000
- Fax
- (952) 345-6789
- NPI assigned
- Mar 15, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106392 | MN | Primary |
Addresses
Primary practice location
4801 W 81St St Ste 112
Bloomington, MN 55437-1111
Mailing address
4801 W 81St St Ste 112
Bloomington, MN 55437-1111
Phone (952) 345-3000
Other practice location 1
162 Cobblestone Ln
Burnsville, MN 55337-4578
Phone (952) 345-3000
Other practice location 2
7650 Currell Blvd Ste 260
Woodbury, MN 55125-8209
Phone (952) 345-3000
Other practice location 3
1630 101st Ave NE
Blaine, MN 55449-3400
Phone (952) 345-3000
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": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1003517145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W 81ST ST STE 112",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371111",
"telephone_number": "952-345-3000",
"fax_number": "952-345-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W 81ST ST STE 112",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371111",
"telephone_number": "952-345-3000",
"fax_number": "952-345-6789"
}
],
"practiceLocations": [
{
"address_1": "162 Cobblestone Ln",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553374578",
"country_code": "US",
"telephone_number": "952-345-3000",
"fax_number": "952-345-6789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7650 Currell Blvd Ste 260",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551258209",
"country_code": "US",
"telephone_number": "952-345-3000",
"fax_number": "952-345-6789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 101st Ave NE",
"address_purpose": "LOCATION",
"city": "Blaine",
"state": "MN",
"postal_code": "554493400",
"country_code": "US",
"telephone_number": "952-345-3000",
"fax_number": "952-345-6789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "CHRISTINA",
"middle_name": "JEAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "106392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.