Active NPI
Susan J Jensen, LMT
- Massage Therapist
- Mt Washington, KY
National Provider Identifier
1033436597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- KY-3640
- Practice address
- 174 Wilmington Dr
Mount Washington, KY 40047-7132 - Phone
- (502) 500-4512
- NPI assigned
- Apr 23, 2010
- Last updated
- Apr 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | KY-3640 | KY | Primary |
Addresses
Primary practice location
174 Wilmington Dr
Mount Washington, KY 40047-7132
Mailing address
174 Wilmington Dr
Mount Washington, KY 40047-7132
Phone (502) 500-4512
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-3640 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1033436597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 WILMINGTON DR",
"city": "MOUNT WASHINGTON",
"state": "KY",
"postal_code": "400477132",
"telephone_number": "502-500-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 WILMINGTON DR",
"city": "MOUNT WASHINGTON",
"state": "KY",
"postal_code": "400477132",
"telephone_number": "502-500-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "SUSAN",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-23",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "KY-3640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Washington, KY
- Karen Anne Hughes, D.M.D.
- Kimberley Marie Huseman, O.D.
- Impact Outpatient Program LLC (Robert Alexander Center for Recovery)
- Nita Suzann Isgrigg, DMD
- Linda S Jasper, LPCC, RM
- Nathanial Johnson
- Joseph Geraci DMD PLLC (Joseph Geraci DMD)
- Karen Anne Hughes (Hughes Family Dentistry)
- Jarred Kelley, LPCC
- Monna Jean Kendrick, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.