Individual provider Active NPI

Desiree Jensen, LMT

  • Massage Therapist
  • Eagle River, AK
National Provider Identifier
1801699806
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
236351 Issued in AK
Practice address
11431 Business Blvd Ste 601
Eagle River, AK 99577-7738
Phone
(907) 694-7700
NPI assigned
Mar 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 236351 AK Primary

Addresses

Primary practice location

11431 Business Blvd Ste 601
Eagle River, AK 99577-7738

Mailing address

2625 Butterfield Rd Ste 301N
Oak Brook, IL 60523-1266
Phone (630) 468-1824

Other practice location 1

611 S Knik Goose Bay Rd Ste D
Wasilla, AK 99654-8078
Phone (907) 376-1150

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
236351AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Eagle River LLC CurrentSince Mar 30, 2025 Accepting new patients
Arctic Chiropractic & Physical Medicine Eagle River LLC CurrentSince Mar 30, 2025 Accepting new patients
Excel Physical Therapy Limited Partnership Past Accepting new patients

Locations

11431 Business Blvd
Ste 601
Eagle River, AK 99577
Phone (907) 694-7700

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1801699806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11431 BUSINESS BLVD STE 601",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777738",
            "telephone_number": "907-694-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 S Knik Goose Bay Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548078",
            "country_code": "US",
            "telephone_number": "907-376-1150",
            "fax_number": "907-376-1160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DESIREE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "236351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.