Individual provider Active NPI

Adrienne Jensen, DPT

  • Physical Therapist
  • Hillsborough, NJ
National Provider Identifier
1740676832
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01605900 Issued in NJ
Practice address
450 Amwell Rd
Hillsborough, NJ 08844-1218
Phone
(908) 359-3744
Fax
(908) 359-6761
NPI assigned
Apr 15, 2015
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01605900 NJ Primary

Addresses

Primary practice location

450 Amwell Rd
Hillsborough, NJ 08844-1218

Mailing address

668 Marshall Rd
Apt 2F
Hillsborough, NJ 08844-5328
Phone (631) 580-5200

Other names 1

  • Adrienne Campbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150501000477 NJ Practitioner - Physical Therapist in Private Practice 4385963149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Activcore Health Network LLCGroup PAC ID 9830400456, 25 clinicians

Practice addresses (Care Compare)

800 Bunn Dr
Suite 102
Princeton, NJ 08540-1968
Phone (800) 455-8982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01605900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Apr 14, 2015 Accepting new patients
Activcore Health Network LLC Physical Therapist CurrentSince Feb 1, 2016 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Apr 14, 2015 Accepting new patients
Hillsborough Physical Therapy, PA Physical Therapist Past Accepting new patients

Locations

2 Morristown Rd
Ste C
Bernardsville, NJ 07924

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

800 Bunn Dr
Princeton, NJ 08540
Phone (609) 497-9352

800 Bunn Dr
Ste 102
Princeton, NJ 08540
Phone (609) 466-9004

4175 Veterans Memorial Hwy
Ste 202
Ronkonkoma, NY 11779

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.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1740676832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 MARSHALL RD",
            "address_2": "APT 2F",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445328",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 AMWELL RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441218",
            "telephone_number": "908-359-3744",
            "fax_number": "908-359-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ADRIENNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01605900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "CAMPBELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.