Provider Demographics
NPI:1548268063
Name:JENSEN, AMY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:JENSEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 1ST AVE N STE C
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1426
Mailing Address - Country:US
Mailing Address - Phone:515-957-1060
Mailing Address - Fax:
Practice Address - Street 1:116 1ST AVE N STE C
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1426
Practice Address - Country:US
Practice Address - Phone:515-957-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI7658OtherMEDICARE GROUP
IA38538OtherINDIVIDUAL WELLMARK NORWA
IA38539OtherINDIVIDUAL WELLMARK DES M
IA38540OtherINDIVIDUAL WELLMARK ALTOO
IA42689OtherGROUP WELLMARK
IAI8050OtherGROUP MEDICARE
IAI7658OtherMEDICARE GROUP
IAQ40005Medicare UPIN