Kathy Jean Jensen, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4900-27 Issued in WI

Practice address

107 E Beckert Rd
New London, WI 54961-2509

Phone

(920) 982-9371

NPI assigned

Jan 24, 2013

Last updated

Jan 24, 2013By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1396083374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S NASH ST",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549449485",
            "telephone_number": "920-858-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E BECKERT RD",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612509",
            "telephone_number": "920-982-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KATHY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4900-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ileana Jacobs, OTR
• Carissa Marie Jaecks, D.C.
• Sherry Lynn Jagiello, OTA
• Deborah Jalling, LAT
• Erika Janssen
• James Lee Jernegan, RPH
• Karly Lynn Johannsen
• Todd Robert Johnson, NP
• Amy Jordan
• Julie Feider, Mse, LPC

• Occupational Therapy Assistant in New London, WI
• Providers in New London, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.