Bradley Jensen, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

9045224-2401 Issued in UT

Practice address

1136 E Wilmington Ave
Salt Lake City, UT 84106-2819

Phone

(801) 581-2221

Fax

(801) 581-2043

NPI assigned

Dec 16, 2014

Sex

Male

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": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1972901437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E WILMINGTON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062819",
            "telephone_number": "801-581-2221",
            "fax_number": "801-581-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E WILMINGTON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062819",
            "telephone_number": "801-581-2221",
            "fax_number": "801-581-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BRADLEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "UT",
            "license": "9045224-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aydin Meriba Jensen
• Bailey Jensen
• Benjamin Jensen
• Benjamin Todd Jensen, M.D.
• Bevan Jensen, PHARMD
• Brandon Charles Jensen, DDS
• Brayden Richard Jensen, MS
• Brittney Jensen
• Cheryl M Jensen, A.P.R.N.
• Craig R Jensen, MD

• Physical Therapy Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapy Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.