Jay B Jensen, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06984 Issued in OR

Practice address

1849 SW Salmon St
Portland, OR 97205-1726

Phone

(503) 272-8785

Fax

(503) 590-3687

NPI assigned

Dec 6, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thibodaux Regional Network Development Corporation

  • Anesthesiology Physician
  • Thibodaux, LA
  • NPI 1285658310
  NPD
• J and D Physical Therapy Services

  dba Rebound Orthopedic Physical Therapy

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1134299951

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1043641640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14925 SW BARROWS ROAD, STE 109, BOX 151",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97007",
            "telephone_number": "503-481-2973",
            "fax_number": "503-590-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SW SALMON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051726",
            "telephone_number": "503-272-8785",
            "fax_number": "503-590-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JAY",
        "middle_name": "B",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-06",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Jensen
• Hayley Jensen, ND, LAC
• Jacqueline Gabriele Jensen, LPC
• James A Jensen, MA,CADC II
• Jared Jensen
• Jeffrey Thomas Jensen, MD
• John Jensen
• Julia Terese Jensen
• Kassandra Renee Jensen, DO
• Kyle Kristopher Jensen, M.D.

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.