Individual provider Active NPI

Danielle Marie Jensen, OTR/L

  • Occupational Therapist
  • Evergreen, CO
National Provider Identifier
1760872832
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
.0005999 Issued in CO
Practice address
30772 Southview Dr Ste 140
Evergreen, CO 80439-2214
Phone
(303) 704-4578
NPI assigned
Jan 28, 2015
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X .0005999 CO Primary

Addresses

Primary practice location

30772 Southview Dr Ste 140
Evergreen, CO 80439-2214

Mailing address

30772 Southview Dr Ste 140
Evergreen, CO 80439-2214
Phone (303) 704-4578

Other identifiers 2

IdentifierTypeStateIssuer
334815OtherNATIONAL BOARD CERTIFICATION IN OCCUPATIONAL THERAPY
.0005999OtherCOCOLORADO OFFICE OF OCCUPATIONAL THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@livewellotr.net Health Information Exchange (HIE) Live Well Occupational Therapy LLC

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

LicenseStateTypeSpecialty
.0005999COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Occupational Therapy LLC Occupational Therapist CurrentSince Feb 9, 2020 Accepting new patients
Rodrigo D. Rodriguez PastSince Aug 12, 2019 Accepting new patients

Locations

30772 Southview Dr
Ste 140
Evergreen, CO 80439
Phone (303) 670-7777

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1760872832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30772 SOUTHVIEW DR STE 140",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392214",
            "telephone_number": "303-704-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30772 SOUTHVIEW DR STE 140",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392214",
            "telephone_number": "303-704-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": ".0005999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "334815",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO OFFICE OF OCCUPATIONAL THERAPY",
            "identifier": ".0005999",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@livewellotr.net",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Live Well Occupational Therapy LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30772 Southview Dr Ste 140",
            "city": "Evergreen",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804392214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.