Active NPI
Danielle Marie Jensen, OTR/L
- Occupational Therapist
- Evergreen, CO
National Provider Identifier
1760872832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- .0005999
- Practice address
- 30772 Southview Dr Ste 140
Evergreen, CO 80439-2214 - Phone
- (303) 704-4578
- NPI assigned
- Jan 28, 2015
- Last updated
- Nov 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334815 | Other | NATIONAL BOARD CERTIFICATION IN OCCUPATIONAL THERAPY | |
| .0005999 | Other | CO | COLORADO OFFICE OF OCCUPATIONAL THERAPY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| .0005999 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Well Occupational Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Rodrigo D. Rodriguez | Past | 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.
-
dba Live Well Community Care
- Home Health Agency
- Evergreen, CO
- NPI 1134750508
Occupational Therapist
-
dba In Home Therapy Services of America
- Multi-Specialty Clinic/Center
- Aurora, CO
- NPI 1740648187
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.