Active NPIIndividual provider

Mr. Fred R Jensen, PTA

Physical Therapy Assistant in Providence, Rhode Island

NPI Number1548281884
Practice location
830 Chalkstone Ave, Providence, RI 02908-4734
Fax
401-525-2529
Last updated
July 8, 2007

Fred R Jensen is a Physical Therapy Assistant based in Providence, RI. Fred R Jensen practices in Providence, RI and has the professional credentials of PTA. The NPI Number for Fred R Jensen is 1548281884 and holds a License No. PTA00421 (RI). The current practice location address for Fred R Jensen is 830 Chalkstone Ave, Providence, RI 02908-4734 and can be reached out via phone at 401-273-7100 and via fax at 401-525-2529.

Provider Profile Details

NPI Number
1548281884
Provider Name
Fred R Jensen
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
830 Chalkstone Ave, Providence, RI 02908-4734
Phone Number
401-273-7100
Fax Number
401-525-2529
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 Chalkstone Ave
Providence, RI 02908-4734
Zip
02908-4734
Phone Number
401-273-7100
Fax Number
401-525-2529
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
43 Hawthorne St
North Providence, RI 02904-3816
City
North Providence
State
RI
Zip
02904-3816

License Information

License Number
PTA00421
License State
RI
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Fred R Jensen, PTA?

The NPI number of Mr. Fred R Jensen, PTA is 1548281884. It was assigned on July 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Fred R Jensen, PTA?

Mr. Fred R Jensen, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in RI under license number PTA00421.

Where does Mr. Fred R Jensen, PTA practice?

The practice location is 830 Chalkstone Ave, Providence, RI 02908-4734. The office can be reached at 401-273-7100 (phone) or 401-525-2529 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548281884 directly on the NPPES registry website.

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