Brian David Jensen, OTD,OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

11355367-4201 Issued in UT

Practice address

1992 W Antelope Dr Ste 1D
Layton, UT 84041-4974

Phone

(801) 773-2633

NPI assigned

Jul 12, 2019

Sex

Male

Sole proprietor

Yes

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 UT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Hand Therapy Limited PartnershipGroup PAC ID 3971966680, 9 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.

• Summit Hand Therapy Limited Partnership

  • Occupational Therapist
  • Layton, UT
  • NPI 1477239820
  Medicare reassignment Care Compare group NPD
• Summit Hand Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Layton, UT
  • NPI 1538973060

  Hand

  NPD

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1114579869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 W ANTELOPE DR STE 1D",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414974",
            "telephone_number": "801-773-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 W ANTELOPE DR STE 1D",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414974",
            "telephone_number": "801-773-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OTD,OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "UT",
            "license": "11355367-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelci Jenkins
• Amanda Van Leeuwen Jenks, LMFT
• David Bradley Jenks Jr., PH.D., LMFT
• Alexis Jensen
• Ashlyn Jensen
• Denmark R Jensen, O.D.
• James Jensen
• Jared Wayne Jensen
• Jenelle Marie Jensen, APRN
• Jennifer Ann Jensen

• Hand Occupational Therapist in Layton, UT
• Providers in Layton, UT by specialty
• Hand Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.