Chelsie Jensen, MSOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

287710 Issued in OR

Practice address

4560 SE International Way
Suite 100
Milwaukie, OR 97222-4628

Phone

(435) 630-9157

NPI assigned

Feb 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Chelsie Richardson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1205376241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 DOGWOOD ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974787331",
            "telephone_number": "435-630-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY",
            "address_2": "SUITE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224628",
            "telephone_number": "435-630-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "CHELSIE",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "287710",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "8094263-4201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE PRACTICE LICENSE",
            "identifier": "8094263-4201",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE PRACTICE LICENSE",
            "identifier": "287710",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSIE",
            "last_name": "RICHARDSON",
            "credential": "MSOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey S Casebier DMD LLC
• Jamilyn D Jeffrey, RPT
• Jen Berryman LLC
• Jennifer O'Leary ND Inc
• Jennypenny LLC
• Debra Ann Jensen, OCCUPATIONAL THERAPI
• Jesmek RTH LLC
• Kelsey Jeter
• Becky Jewell, RN
• Michael Jhon, PTA

• Occupational Therapist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.