Active NPI
Jensen M Lejeune, DPT
- Physical Therapist
- New Albany, OH
National Provider Identifier
1790141349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019404
- Practice address
- 7277 Smiths Mill Rd Ste 100
New Albany, OH 43054-8195 - Phone
- (614) 304-2123
- Fax
- (614) 304-2111
- NPI assigned
- Jan 12, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | PT019404 | OH | Primary |
Addresses
Primary practice location
7277 Smiths Mill Rd Ste 100
New Albany, OH 43054-8195
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 713-1779
Other practice location 1
170 Taylor Station Rd
Columbus, OH 43213-4491
Phone (614) 545-7900
Other practice location 2
45280 National Rd
Saint Clairsville, OH 43950-8787
Phone (740) 247-7955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0456261 | Medicaid | OH |
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 |
|---|---|---|---|
| PT019404 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R3 Movement & Performance | Current | Accepting new patients |
Interoperability endpoints
- jensen.lejune.p1@direct.beaconortho.nextgenshare.com
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.
-
- Physical Therapy Clinic/Center
- Hilliard, OH
- NPI 1114634391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1790141349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "513-713-1779",
"fax_number": "513-854-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7277 SMITHS MILL RD STE 100",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430548195",
"telephone_number": "614-304-2123",
"fax_number": "614-304-2111"
}
],
"practiceLocations": [
{
"address_1": "170 Taylor Station Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432134491",
"country_code": "US",
"telephone_number": "614-545-7900",
"fax_number": "614-545-7901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45280 National Rd",
"address_purpose": "LOCATION",
"city": "Saint Clairsville",
"state": "OH",
"postal_code": "439508787",
"country_code": "US",
"telephone_number": "740-247-7955",
"fax_number": "740-247-7955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEJEUNE",
"first_name": "JENSEN",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT019404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0456261",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.