Kimi Jensen Archer, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009329-1 Issued in NY

Practice address

7571 State Route 54
Ira Davenport Mem. Hospital, Rehab Services Department
Bath, NY 14810-9504

Phone

(607) 776-8543

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kimi Roxanne Jensen Former name

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982737086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 COUNTY ROUTE 70",
            "city": "AVOCA",
            "state": "NY",
            "postal_code": "148099549",
            "telephone_number": "607-566-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7571 STATE ROUTE 54",
            "address_2": "IRA DAVENPORT MEM. HOSPITAL, REHAB SERVICES DEPARTMENT",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148109504",
            "telephone_number": "607-776-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "KIMI",
        "middle_name": "JENSEN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009329-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMI",
            "last_name": "JENSEN",
            "middle_name": "ROXANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Aaron Anderson, LMSW
• Matthew E. Anderson, P.T.
• Donna Andrewso.T., O.T.
• Jane Marie Aniskevich, LCSW-R
• Anselmo D. Deasis M.D.
• Emily Argentieri
• Richard W Armstrong
• Emily Ashton, M.S., CCC-SLP
• Aspirehope Ny, Inc.
• Edward Atwood, LMSW

• Physical Therapist in Bath, NY
• Providers in Bath, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.