Aubrey Anne Jenson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

8736508-4202 Issued in UT

Practice address

358 W Wasatch St
Midvale, UT 84047-7402

Phone

(801) 635-6062

NPI assigned

Nov 2, 2020

Last updated

Nov 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1861093411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 W WASATCH ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840477402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 W WASATCH ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840477402",
            "telephone_number": "801-635-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSON",
        "first_name": "AUBREY",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "UT",
            "license": "8736508-4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Fairbourn LMFT, LLC (Cottonwood Creek Counseling)
• Joseph Dean Jensen, MD
• Krystynna Jensen
• Sarah Rebecca Jensen, LMT, MMP
• Wade Jensen
• Isabella Jenson, OD
• Jentle Care
• Crystal Leigh Jimenez
• Hena John-Fisk, CSWI
• Nicole Marie Johnson, PA-C

• Occupational Therapy Assistant in Midvale, UT
• Providers in Midvale, UT by specialty
• Occupational Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.