Connie Jensen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305001979 Issued in VA

Practice address

8209 Watson St
Suite 100
MC Lean, VA 22102-4402

Phone

(703) 734-2889

Fax

(703) 734-2139

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

No

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

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366442915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 MAIN ST",
            "address_2": "SUITE 200A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313907",
            "telephone_number": "703-279-4394",
            "fax_number": "703-279-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8209 WATSON ST",
            "address_2": "SUITE 100",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024402",
            "telephone_number": "703-734-2889",
            "fax_number": "703-734-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "CONNIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305001979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew B Jefferson, MASSAGE THERAPIST
• Toni Jeffries
• Daphne C Jenkins, FNP-BC
• Jennifer Weaver and Associates, PLLC
• Charles David Jensen, D.D.S.
• Emma Jensen, BCBA
• Rebecca Devenney Jensen
• Jihun Jeong
• Jerome Shapiro, DPM and Michael Rahn, DPM, PC
• Hongguan Jiao

• Physical Therapist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.