Individual provider Active NPI

Beth Ann Jensen, MOT, OTR/L

  • Occupational Therapist
  • Ottawa, OH
National Provider Identifier
1669771291
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007620 Issued in OH
Practice address
1880 N. Perry Street
Ste 100
Ottawa, OH 45875
Phone
(419) 523-9003
Fax
(419) 523-9143
NPI assigned
Mar 22, 2011
Last updated
Mar 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007620 OH Primary

Addresses

Primary practice location

1880 N. Perry Street
Ste 100
Ottawa, OH 45875

Mailing address

1880 N. Perry Street
Ste 100
Ottawa, OH 45875
Phone (419) 523-9003

Other identifiers 1

IdentifierTypeStateIssuer
2251343MedicaidOH

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

LicenseStateTypeSpecialty
007620OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physical Therapy, Inc. Occupational Therapist Past Accepting new patients
Morman Family Chiropractic, LLC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1669771291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 N. PERRY STREET",
            "address_2": "STE 100",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "45875",
            "telephone_number": "419-523-9003",
            "fax_number": "419-523-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N. PERRY STREET",
            "address_2": "STE 100",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "45875",
            "telephone_number": "419-523-9003",
            "fax_number": "419-523-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "007620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2251343",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.