Active NPI
Jennifer M Jensen
- Physical Therapist
- Mitchell, SD
National Provider Identifier
1235220351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1355
- Practice address
- 2100 N Kimball St
Mitchell, SD 57301-1164 - Phone
- (605) 996-8712
- Fax
- (605) 996-7513
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- 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 | 1355 | SD | Primary |
Addresses
Primary practice location
2100 N Kimball St
Mitchell, SD 57301-1164
Mailing address
2100 N Kimball St
Mitchell, SD 57301-1164
Phone (605) 996-8712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235220351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N KIMBALL ST",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573011164",
"telephone_number": "605-996-8712",
"fax_number": "605-996-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N KIMBALL ST",
"city": "MITCHELL",
"state": "SD",
"postal_code": "573011164",
"telephone_number": "605-996-8712",
"fax_number": "605-996-7513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JENNIFER",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchell, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.