NPIMap

Organization Active NPI

Jensen Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Jensen Beach, FL
National Provider Identifier
1821227778
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JENSEN PHYSICAL THERAPY INC.
Practice address
702 Jensen Beach Blvd.
Jensen Beach, FL 34957
Phone
(772) 225-8908
Fax
(772) 225-0843
NPI assigned
Jul 13, 2009
Last updated
Feb 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Glenn Craig Sampson, PTNPI 1619198470
Title
Physical Therapist / Owner
Phone
(772) 225-8908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

702 Jensen Beach Blvd.
Jensen Beach, FL 34957

Mailing address

702 Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 225-8908

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1821227778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "34957",
            "telephone_number": "772-225-8908",
            "fax_number": "772-225-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 JENSEN BEACH BLVD.",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "34957",
            "telephone_number": "772-225-8908",
            "fax_number": "772-225-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "772-225-8908",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.