Active NPI
Jo Ann Jensen
- Physical Therapy Clinic/Center
- Irving, TX
National Provider Identifier
1548412489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2052623
- Practice address
- 5215 N O'Connor Blvd.
Suite 200
Irving, TX 75039 - Phone
- (469) 420-9500
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 2052623 | TX | Primary |
Addresses
Primary practice location
5215 N O'Connor Blvd.
Suite 200
Irving, TX 75039
Mailing address
113 Ascot Dr
Southlake, TX 76092-5118
Phone (817) 310-3401
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2052623 | TX | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1548412489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 ASCOT DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925118",
"telephone_number": "817-310-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 N O'CONNOR BLVD.",
"address_2": "SUITE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "75039",
"telephone_number": "469-420-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JO ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "TX",
"license": "2052623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.