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

Last updated

Jul 13, 2026By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 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 (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
• Marsha Renee Jespersen, MD

• Physical Therapist in McLean, VA
• Providers in McLean, 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.