Jayden Jensen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017128 Issued in GA

Practice address

5855 State Bridge Rd Ste 200
Johns Creek, GA 30097-2666

Phone

(770) 225-0732

Fax

(770) 470-4877

NPI assigned

Jun 19, 2024

Sex

Female

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• MCM Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1538226840

  GA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• MCM Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Hixson, TN
  • NPI 1922681360
  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1063256790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 STATE BRIDGE RD STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972666",
            "telephone_number": "770-225-0732",
            "fax_number": "770-470-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5855 State Bridge Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300972666",
            "country_code": "US",
            "telephone_number": "770-225-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JAYDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jena Louise Jaragoski, NP-C
• Madison Christina Jarvis, LAT, ATC
• Neeru Jayanthi, MD
• JC Anesthesia LLC
• JC Family Testing Inc
• Daniel Y Jeong
• JHL Imaging Services LLC
• Lanlan Jiang
• Nida Suleman Jiwani, DO
• JL Health Center LLC

• Physical Therapist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.