Trevor Jensen

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TREVOR JENSEN

Practice address

4607 Pontiac TRL
Ann Arbor, MI 48105-9365

Phone

(734) 985-0705

Fax

(734) 256-4089

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Trevor JensenNPI 1558958033

Title

Physical Therapist

Phone

(734) 985-0705

Specialties & licenses 1

Addresses

Other names 1

• Max Physical Therapy & Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trevor Jensen

  • Physical Therapist
  • Ann Arbor, MI
  • NPI 1558958033
  NPD Authorized official

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1871314591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 PONTIAC TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059365",
            "telephone_number": "734-985-0705",
            "fax_number": "734-256-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 PONTIAC TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059365",
            "telephone_number": "734-985-0705",
            "fax_number": "734-256-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR JENSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "734-985-0705"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Max Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Staszewski Trent, MD
• Adrienne Perry Trentacosti, PA-C
• Yolanda Grisales Trentadue, M.A., CF-SLP
• Brian M Treon, MD
• Kelly Ann Trethewey, CRNA
• Alison Christine Tribble, M.D.
• Jourdan Elizabeth Triebwasser, M.D.
• Michael Paul Triebwasser, M.D.
• Steven J Trierweiler, PH.D.
• Danielle Trieskey, LMSW

• Physical Therapy Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.