Dacey Jensen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

325 Hanson St
Winnemucca, NV 89445-3607

Phone

(775) 625-2222

Fax

(775) 625-1131

NPI assigned

Nov 11, 2021

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 NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chad Backus Physical TherapyGroup PAC ID 6800287418, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Chad Backus Physical Therapy

  • Physical Therapist
  • Winnemucca, NV
  • NPI 1700544764

  NV, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rehab Services B and Ris LLC

  • Physical Therapist
  • Winnemucca, NV
  • NPI 1245331404

  NV, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1508522798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HANSON ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453607",
            "telephone_number": "775-625-2222",
            "fax_number": "775-625-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HANSON ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453607",
            "telephone_number": "775-625-2222",
            "fax_number": "775-625-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DACEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Huseboe, AEMT
• Justin Irvin, EMT-P
• Leon S Jackson, MD
• Jade Nobe Clinic-JHMC, LLC
• Susan Louise Jancar, DDS
• Janita Jensen, LCSW
• Margaret Humphrey Johnson, R.D.
• Marietta Johnson
• Melody Jones
• Jeremy Marc Keener, D.D.S.

• All providers in Winnemucca, NV
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.