Individual provider Active NPI

Joshua Drew Jensen, PT

  • Physical Therapist
  • Blackfoot, ID
National Provider Identifier
1922844240
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2828 Issued in ID
Practice address
1250 W Bridge St
Blackfoot, ID 83221-5095
Phone
(208) 785-8018
Fax
(208) 785-3332
NPI assigned
Jul 5, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-2828 ID Primary

Addresses

Primary practice location

1250 W Bridge St
Blackfoot, ID 83221-5095

Mailing address

PO Box 306
Blackfoot, ID 83221-0306
Phone (208) 785-8018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801003114 ID Practitioner - Physical Therapist in Private Practice 1850838350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnes Physical Therapy, LLCGroup PAC ID 5092964809, 6 clinicians

Practice addresses (Care Compare)

1250 W Bridge St
Blackfoot, ID 83221-5095
Phone (208) 785-8018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2828IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnes Physical Therapy, LLC Physical Therapist CurrentSince Jul 2, 2024 Accepting new patients

Locations

1250 W Bridge St
Blackfoot, ID 83221
Phone (208) 681-3757

1250 W Bridge St
Ste F
Blackfoot, ID 83221
Phone (208) 785-8018

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1922844240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832210306",
            "telephone_number": "208-785-8018",
            "fax_number": "208-785-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W BRIDGE ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215095",
            "telephone_number": "208-785-8018",
            "fax_number": "208-785-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JOSHUA",
        "middle_name": "DREW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.