Active NPI
Chris C Jensen, PT
- Orthopedic Physical Therapist
- Salem, MA
National Provider Identifier
1477640225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 8487
- Practice address
- 84 Highland Ave
Salem, MA 01970-2727 - Phone
- (978) 741-0880
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 8487 | MA | Primary |
Addresses
Primary practice location
84 Highland Ave
Salem, MA 01970-2727
Mailing address
84 Highland Ave
Salem, MA 01970-2727
Phone (978) 741-0880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036899 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8487 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204329600000",
"number": "1477640225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 HIGHLAND AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702727",
"telephone_number": "978-741-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 HIGHLAND AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702727",
"telephone_number": "978-741-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "CHRIS",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2008-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MA",
"license": "8487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036899",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.