Active NPI
Jensen Pearson, DPT
- Physical Therapist
- Oshkosh, WI
National Provider Identifier
1245924638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16375-24
- Practice address
- 909 S Washburn St
Oshkosh, WI 54904-8051 - Phone
- (920) 235-8966
- Fax
- (920) 235-1526
- NPI assigned
- Jun 7, 2023
- 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 | 16375-24 | WI | Primary |
Addresses
Primary practice location
909 S Washburn St
Oshkosh, WI 54904-8051
Mailing address
909 S Washburn St
Oshkosh, WI 54904-8051
Phone (920) 235-8966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Neurology Wisconsin SC | Current | Accepting new patients | |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
1725 N Casaloma Dr
Appleton, WI 54913
Phone (888) 585-7975
478 W Arndt St
Fond du Lac, WI 54935
Phone (920) 933-6304
12200 N Corporate Pkwy
Ste 400
Mequon, WI 53092
Phone (888) 585-7975
1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207
Interoperability endpoints
- https://api.platform.athenahealth.com/26712/brand/1/csg/1/fhir/r4
- jensen.pearson.1@26712.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Mequon, WI
- NPI 1073242194
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1003174087
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1245924638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 S WASHBURN ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549048051",
"telephone_number": "920-235-8966",
"fax_number": "920-235-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S WASHBURN ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549048051",
"telephone_number": "920-235-8966",
"fax_number": "920-235-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "JENSEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16375-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.