Individual provider Active NPI

Alexander Jensen

  • Physical Therapist
  • Buffalo Grove, IL
National Provider Identifier
1205494481
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070024183 Issued in IL
Practice address
1156 W Lake Cook Rd
Buffalo Grove, IL 60089-1979
Phone
(847) 520-7264
Fax
(847) 520-7290
NPI assigned
Jun 3, 2019
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070024183 IL Primary

Addresses

Primary practice location

1156 W Lake Cook Rd
Buffalo Grove, IL 60089-1979

Mailing address

1156 W Lake Cook Rd
Buffalo Grove, IL 60089-1979
Phone (847) 520-7264

Other practice location 1

601 Deerfield Pkwy
Buffalo Grove, IL 60089-7500
Phone (847) 215-0022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190606000269 IL Practitioner - Physical Therapist in Private Practice 6709119795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

601 Deerfield Pkwy
Buffalo Grove, IL 60089-7500
Phone (847) 215-0022

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients

Locations

1156 W Lake Cook Rd
Buffalo Grove, IL 60089
Phone (847) 498-1886

601 Deerfield Pkwy
Buffalo Grove, IL 60089
Phone (847) 215-0022

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1205494481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 W LAKE COOK RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891979",
            "telephone_number": "847-520-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 W LAKE COOK RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891979",
            "telephone_number": "847-520-7264",
            "fax_number": "847-520-7290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Deerfield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600897500",
            "country_code": "US",
            "telephone_number": "847-215-0022",
            "fax_number": "847-465-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.