Active NPI
Jennifer Lynn Jensen, OTR/L
- Occupational Therapist
- Prince Frederick, MD
National Provider Identifier
1649740531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1305 Dares Beach Rd
Prince Frederick, MD 20678-4208 - Phone
- (443) 550-8000
- NPI assigned
- Dec 4, 2018
- Last updated
- Dec 4, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
1305 Dares Beach Rd
Prince Frederick, MD 20678-4208
Mailing address
4540 Woodbridge LN
Huntingtown, MD 20639-3034
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calvert County Public Schools | Past | Accepting new patients | |
| Calvert County Public School | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Prince Frederick, MD
- NPI 1336306802
-
- Local Education Agency (LEA)
- Prince Frederick, MD
- NPI 1326262973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1649740531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4540 WOODBRIDGE LN",
"city": "HUNTINGTOWN",
"state": "MD",
"postal_code": "206393034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 DARES BEACH RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784208",
"telephone_number": "443-550-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-04",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.