Individual provider Active NPI

Kristina M Jensen, OTR

  • Occupational Therapist
  • North Canton, OH
National Provider Identifier
1174757876
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.007038 Issued in OH
Practice address
7235 Whipple Ave NW
North Canton, OH 44720-7137
Phone
(330) 418-9313
NPI assigned
May 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.007038 OH Primary

Addresses

Primary practice location

7235 Whipple Ave NW
North Canton, OH 44720-7137

Mailing address

1217 Mulberry Run
Mineral Ridge, OH 44440-9437
Phone (330) 299-6190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624000749 OH Practitioner - Occupational Therapist in Private Practice 5597277749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Michigan State University College of Human Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot Outpatient Therapy, LLCGroup PAC ID 7315461795, 16 clinicians

Practice addresses (Care Compare)

5535 Irwin Simpson Rd
Mason, OH 45040-8107
Phone (330) 919-9575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.007038OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Outpatient Therapy, LLC CurrentSince Apr 11, 2025 Accepting new patients

Locations

986 Tibbetts Wick Rd
Girard, OH 44420
Phone (330) 306-9651

986 Tibbetts Wick Rd
Bldg 2
Girard, OH 44420
Phone (330) 919-9575

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1174757876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 MULBERRY RUN",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409437",
            "telephone_number": "330-299-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207137",
            "telephone_number": "330-418-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT.007038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.