Active NPI
David R Jensen, PT
- Physical Therapist
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60159869
- Practice address
- 7201 W Clearwater Ave
Suite B101
Kennewick, WA 99336-1694 - Phone
- (509) 544-0265
- Fax
- (509) 987-1614
- NPI assigned
- Sep 1, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60159869 | WA | Primary |
Addresses
Primary practice location
7201 W Clearwater Ave
Suite B101
Kennewick, WA 99336-1694
Mailing address
7201 W Clearwater Ave
Suite B101
Kennewick, WA 99336-1694
Phone (509) 544-0265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1429 S Pioneer Way
Moses Lake, WA 98837-2458
Phone (509) 765-9608
214 Ash St
Grandview, WA 98930-1319
Phone (509) 882-3111
343 Wellsian Way
Richland, WA 99352-4107
Phone (509) 946-9191
Merit-based Incentive Payment System (MIPS)
- Final score
- 17.18 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 57.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60159869 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Physical Therapy Inc PS | Physical Therapist | Current | Accepting new patients |
Locations
214 Ash St
Grandview, WA 98930
Phone (509) 203-0959
7201 W Clearwater Ave
Ste B101
Kennewick, WA 99336
Phone (509) 544-0265
1429 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 765-9608
116 S 1st Ave
Othello, WA 99344
Phone (509) 488-0773
343 Wellsian Way
Richland, WA 99352
Phone (509) 547-3673
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.
-
- Physical Therapist
- Kennewick, WA
- NPI 1457397531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1184931800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 W CLEARWATER AVE",
"address_2": "SUITE B101",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361694",
"telephone_number": "509-544-0265",
"fax_number": "509-987-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 W CLEARWATER AVE",
"address_2": "SUITE B101",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361694",
"telephone_number": "509-544-0265",
"fax_number": "509-987-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "DAVID",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-01",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60159869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.