Alicia Jensen Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ALICIA JENSEN INC

Doing business as

Creative Works Therapy Team

Practice address

27 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1348

Phone

(304) 645-1163

Fax

(304) 645-8045

NPI assigned

Jan 3, 2012

Last updated

Jan 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia Jensen, MOTR

Title

President

Phone

(210) 878-5091

Specialties & licenses 1

Addresses

Other names 1

• Creative Works Therapy Team Doing business as

Locations

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1467722801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 DONALDSON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782014905",
            "telephone_number": "210-877-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RED OAKS SHOPPING CTR",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701348",
            "telephone_number": "304-645-1163",
            "fax_number": "304-645-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA JENSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-878-5091",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOTR"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Works Therapy Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista N Adams, O.D.
• Paul Aleshire
• Jessica Sue Aliff, D.O.
• Amy E Allen, MPT
• Erin Allen
• Heather A Allen, MPT
• Christine K Altizer, PTA

• Early Intervention Provider Agency in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Early Intervention Provider Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.