Tim Leroy Jensen, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9424731-4201 Issued in UT

Practice address

2055 N 1450 E
North Logan, UT 84341-2086

Phone

(435) 363-3732

Fax

(888) 668-5207

NPI assigned

Feb 5, 2016

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in UT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspire Therapy, LLC

  • Physical Therapist
  • North Logan, UT
  • NPI 1366901704

  Occupational Therapist

  Medicare reassignment NPD Authorized official
• Ihc Health Services Inc

  dba Intermountain Physical Therapy and Rehabilitation

  • Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033822085
  Medicare reassignment NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Ihc Health Services Inc

  dba Orem Community Hospital Physicians

  • Multi-Specialty Clinic/Center
  • Orem, UT
  • NPI 1588601124
  NPD (past)

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1891153714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "MILLVILLE",
            "state": "UT",
            "postal_code": "843260005",
            "telephone_number": "435-232-4279",
            "fax_number": "888-668-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N 1450 E",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843412086",
            "telephone_number": "435-363-3732",
            "fax_number": "888-668-5207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 N 1000 W",
            "address_purpose": "LOCATION",
            "city": "Tremonton",
            "state": "UT",
            "postal_code": "843379356",
            "country_code": "US",
            "telephone_number": "435-207-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TIM",
        "middle_name": "LEROY",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "9424731-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Forrest Huff, M.D.
• Lindsay Dawn Humes, PHYSICIAN ASSISTANT
• Hyde Park Dental
• Wesley Hyde
• Dana Marie Jackson, LCSW
• Melissa D Jex
• Karson B. Johnson, D.C.
• Suezan L Johnson, LCSW
• Jon W Ahlstrom MD PC
• James Lewis Jones Jr., ACNP

• Occupational Therapist in North Logan, UT
• Providers in North Logan, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.