Active NPI
Tara J Jensen, PT
- Physical Therapist
- Logan, UT
National Provider Identifier
1619015518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3617282401
- Practice address
- 1655 N 200 E
Suite 2
Logan, UT 84341-1945 - Phone
- (435) 753-1844
- Fax
- (435) 753-2986
- NPI assigned
- Feb 2, 2007
- Last updated
- Apr 1, 2008
- 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 | 3617282401 | UT | Primary |
Addresses
Primary practice location
1655 N 200 E
Suite 2
Logan, UT 84341-1945
Mailing address
2380 N 400 E
Logan, UT 84341-1749
Phone (435) 713-9710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D2434 | Medicaid | UT |
Other names 1
- Tara J Jepson
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cache Valley Specialty Hospital | Past | Accepting new patients | |
| DHT Hand Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Matthew J Welter MD PC | Past | Accepting new patients | |
| Mountain Division - CVH, LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- North Logan, UT
- NPI 1669446563
-
- Family Medicine Physician
- Logan, UT
- NPI 1871781252
-
dba Cache Valley Hospital
- General Acute Care Hospital
- North Logan, UT
- NPI 1952703472
-
dba Desert Hand and Physical Therapy
- Occupational Therapist
- Mesa, AZ
- NPI 1801309646
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1619015518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 N 400 E",
"city": "LOGAN",
"state": "UT",
"postal_code": "843411749",
"telephone_number": "435-713-9710",
"fax_number": "435-753-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 N 200 E",
"address_2": "SUITE 2",
"city": "LOGAN",
"state": "UT",
"postal_code": "843411945",
"telephone_number": "435-753-1844",
"fax_number": "435-753-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "TARA",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "3617282401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D2434",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "JEPSON",
"middle_name": "J",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.