Individual provider Active NPI

Sarah W Jensen, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1265651087
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070011901 Issued in IL
Practice address
1131 S State St
Chicago, IL 60605-2304
Phone
(630) 697-2882
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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 070011901 IL Primary

Addresses

Primary practice location

1131 S State St
Chicago, IL 60605-2304

Mailing address

1131 S State St
Chicago, IL 60605-2304
Phone (630) 697-2882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000576 IL Practitioner - Physical Therapist in Private Practice 5395729206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physical Therapy, LLCGroup PAC ID 2466998398, 43 clinicians

Practice addresses (Care Compare)

116 W Gartner Rd
Suite 104
Naperville, IL 60540-7529
Phone (331) 229-3632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070011901ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physical Therapy, LLC Physical Therapist CurrentSince May 4, 2016 Accepting new patients
Ipt Management Services, Inc. Physical Therapist CurrentSince May 2, 2016 Accepting new patients

Locations

602 S Neil St
Ste A
Champaign, IL 61820
Phone (217) 649-0504

3420 N Lincoln Ave
Chicago, IL 60657
Phone (773) 360-7287

4746 N Cumberland Ave
Chicago, IL 60656
Phone (773) 417-8901

1131 S State St
Chicago, IL 60605
Phone (312) 588-0508

1103 S State St
Ste 300
Chicago, IL 60605
Phone (312) 877-5101

777 N York Rd
Ste 11
Hinsdale, IL 60521
Phone (630) 819-8384

116 W Gartner Rd
Ste 104
Naperville, IL 60540
Phone (331) 229-3632

10401 S Cicero Ave
Oak Lawn, IL 60453
Phone (708) 581-4810

15441 S 94th Ave
Orland Park, IL 60462
Phone (708) 981-3715

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1265651087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052304",
            "telephone_number": "630-697-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052304",
            "telephone_number": "630-697-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "SARAH",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.