Jonathan Joseph Jensen, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0024859 Issued in CO

Practice address

916 E 10TH St
Pueblo, CO 81001-2913

Phone

(404) 940-4758

NPI assigned

Jan 30, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

Practice roles

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.

• Holistic Wellness LLC

  • Massage Therapist
  • Pueblo, CO
  • NPI 1881336089
  NPD Authorized official

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1306552583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 E 10TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012913",
            "telephone_number": "404-940-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E 10TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012913",
            "telephone_number": "404-940-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JONATHAN",
        "middle_name": "JOSEPH",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0024859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jed J Tatsuyama, MD, PC
• Adam Jeffryes, MA, LPC
• Abigail Jenkins, BCABA
• Adam Jennings, PT
• Brian Jensen
• Kathy Kay Jensen, MS, RDN
• Laurence G Jensen, MD
• Yong Jeon, MD
• Hanna Jeong
• Ankush Ramesh Jha, MD

• Massage Therapist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.