Active NPI
Katheryn S Jensen, PT
- Physical Therapist
- Wisconsin Rapids, WI
National Provider Identifier
1669597324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4362-024
- Practice address
- 3541 Plover Rd
Wisconsin Rapids, WI 54494-2155 - Phone
- (715) 423-5423
- Fax
- (715) 423-1532
- NPI assigned
- Mar 20, 2007
- 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 | 4362-024 | WI | Primary |
Addresses
Primary practice location
3541 Plover Rd
Wisconsin Rapids, WI 54494-2155
Mailing address
3541 Plover Rd
Wisconsin Rapids, WI 54494-2155
Phone (715) 423-5423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40211800 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4362-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapies Plus LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Wisconsin Rapids, WI
- NPI 1013045582
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669597324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3541 PLOVER RD",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544942155",
"telephone_number": "715-423-5423",
"fax_number": "715-423-1532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3541 PLOVER RD",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544942155",
"telephone_number": "715-423-5423",
"fax_number": "715-423-1532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "KATHERYN",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4362-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40211800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.