Active NPI
Amy Jensen, PT, DPT
- Physical Therapist
- Altoona, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03579
- Practice address
- 116 1St Ave N Ste C
Altoona, IA 50009-1426 - Phone
- (515) 957-1060
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03579 | IA | Primary |
Addresses
Primary practice location
116 1St Ave N Ste C
Altoona, IA 50009-1426
Mailing address
116 1St Ave N Ste C
Altoona, IA 50009-1426
Phone (515) 957-1060
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I7658 | Other | IA | MEDICARE GROUP |
| 38538 | Other | IA | INDIVIDUAL WELLMARK NORWA |
| 38539 | Other | IA | INDIVIDUAL WELLMARK DES M |
| 38540 | Other | IA | INDIVIDUAL WELLMARK ALTOO |
| 42689 | Other | IA | GROUP WELLMARK |
| I8050 | Other | IA | GROUP MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
116 1St Ave N
Suite C
Altoona, IA 50009-1426
Phone (515) 957-1060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Anchor Physical Therapy LLC | Current | Accepting new patients | |
| Therapy Services of Iowa Inc | Physical Therapist | Past | Accepting new patients |
| Athletico LTD | Physical Therapist | Past | Accepting new patients |
Locations
116 1st Ave N
Ste C
Altoona, IA 50009
Phone (515) 499-4302
3160 8th St SW
Ste 1
Altoona, IA 50009
Phone (515) 967-4580
3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995
2918 E University Ave
Des Moines, IA 50317
Phone (515) 265-8272
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Altoona, IA
- NPI 1083374813
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Des Moines, IA
- NPI 1871900985
Physical Therapist
-
- Physical Therapist
- Des Moines, IA
- NPI 1407801228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1548268063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 1ST AVE N STE C",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500091426",
"telephone_number": "515-957-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 1ST AVE N STE C",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500091426",
"telephone_number": "515-957-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "I7658",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL WELLMARK NORWA",
"identifier": "38538",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL WELLMARK DES M",
"identifier": "38539",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL WELLMARK ALTOO",
"identifier": "38540",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP WELLMARK",
"identifier": "42689",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "I8050",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.