Nicole Renee Jensen
NPI 1225240773ActiveIndividual· Physical Therapist, Pediatrics· San Jose, CA
Physical Therapist, Pediatrics in San Jose, California, licensed in AZ and CA, with an NPI issued in May 2007.
Overview
| NPI | 1225240773 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 5, 2007 |
| Last updated in NPPES | Dec 16, 2024 |
| Certified by provider | Dec 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Pediatrics Primary | 2251P0200X | 30675 | AZ |
| Physical Therapist | 225100000X | 25543 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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