Jennifer Tanner Henriksen, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60277353 Issued in WA

Practice address

6785 N Willow Ave
Fresno, CA 93710-5900

Phone

(559) 257-3991

Fax

(559) 257-3992

NPI assigned

Jul 11, 2006

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Miss Jennifer L Tanner Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Robert C Pauline, PT, MPT

  • Physical Therapist
  • Fresno, CA
  • NPI 1952539405
  Medicare reassignment
• Robert Pauline Physical Therapy

  • Physical Therapist
  • Fresno, CA
  • NPI 1871969758
  NPD (past)
• Eastern Oregon Physical Therapy Hermiston LLC

  • Physical Therapist
  • Hermiston, OR
  • NPI 1124043633
  NPD (past)
• Pioneer Memorial Physical Therapy

  • Physical Therapist
  • Heppner, OR
  • NPI 1760400956
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1942235726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 N WILLOW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105900",
            "telephone_number": "559-257-3991",
            "fax_number": "559-257-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 N WILLOW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105900",
            "telephone_number": "559-257-3991",
            "fax_number": "559-257-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIKSEN",
        "first_name": "JENNIFER",
        "middle_name": "TANNER",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60277353",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5020",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0302887",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942235726",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TANNER",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Adison Hendy, M.D.
• Sharon Heng, OD
• Xee Heng, FNP
• Paris Henne
• Megan Lee Hennesy, PA-C
• Michael Scott Henriksen, DDS
• Carmen Henriquez
• Henry D. Fajardo, D.M.D., Inc.
• Carol Henry
• Claire Henry, OD

• Physical Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.