NPIMap

Organization Active NPI

Jensen & Jensen Therapy P. L. L. C

  • Physical Therapy Clinic/Center
  • Lehi, UT
National Provider Identifier
1790882223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
110083-2401 Issued in UT
Legal business name
JENSEN & JENSEN THERAPY P. L. L. C
Doing business as
Dry Creek Physical Therapy & Wellness
Practice address
3300 Running Creek Way Ste 150 BLDG B
Lehi, UT 84043-5673
Phone
(801) 766-4244
Fax
(801) 766-4245
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jerry Richard Jensen, PT
Title
Managing Partner
Phone
(801) 766-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 110083-2401 UT Primary

Addresses

Primary practice location

3300 Running Creek Way Ste 150 BLDG B
Lehi, UT 84043-5673

Mailing address

675 E 100 N
Alpine, UT 84004-1464
Phone (801) 763-5538

Other identifiers 1

IdentifierTypeStateIssuer
528806842001MedicaidUT

Other names 1

  • Dry Creek Physical Therapy & Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dry Creek Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790882223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 E 100 N",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041464",
            "telephone_number": "801-763-5538",
            "fax_number": "801-766-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RUNNING CREEK WAY STE 150 BLDG B",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435673",
            "telephone_number": "801-766-4244",
            "fax_number": "801-766-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN & JENSEN THERAPY P. L. L. C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "801-766-4244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "110083-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528806842001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dry Creek Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.