DR. JACOB R JENSSEN (PT, DPT, ATC) – Physical Therapist, NPI 1437289659

DR. JACOB R JENSSEN (PT, DPT, ATC) is a healthcare provider. based in Monticello, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, ATC. They hold a License No. 37056 (CA). The NPI Number for DR. JACOB R JENSSEN (PT, DPT, ATC) is 1437289659

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB R JENSSEN (PT, DPT, ATC)
NPI
1437289659
Phone
(763) 295-4201
Address
1125 CEDAR ST
Enumeration Date
6 March 2007
Last Update Date
27 March 2023

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6519685201
Graduation Year
2010 (16 years ago)
PAC ID
7416137427
Group Practice PAC ID
8921900374
Professional Enrollment ID
I20110208001103
Address ID
MN554463675PL15700NXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for DR. JACOB R JENSSEN (PT, DPT, ATC)

  • 1125 CEDAR ST

    SUITE 106

    MONTICELLO, MN 553624663

    Phone: (763) 295-4201

    Fax: (763) 295-3895

    Type: Mailing

  • 1000 SCHOOL ST NW

    ELK RIVER, MN 553301337

    Phone: (763) 400-7438

    Type: Mailing

  • 7825 3RD ST N

    STE 105

    OAKDALE, MN 551285444

    Phone: (952) 835-4512

    Fax: (888) 425-0398

    Type: Mailing

  • 6450 WEDGWOOD RD N

    MAPLE GROVE, MN 553113641

    Phone: (952) 835-4512

    Fax: (888) 425-0398

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110208001103IPhysical Therapist In Private PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55362)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921900374View full group profile
NameSpecialtyState
-MN
-MN
-MN
Orthopedic Surgery, Sports MedicineMN
-MN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Where can patients find DR. JACOB R JENSSEN (PT, DPT, ATC)'s NPI?
You can confirm DR. JACOB R JENSSEN (PT, DPT, ATC) with NPI 1437289659; it appears in the national provider directory.
Does this profile mean DR. JACOB R JENSSEN (PT, DPT, ATC) is currently active?
Yes — DR. JACOB R JENSSEN (PT, DPT, ATC) appears active in the national provider directory.
What field does DR. JACOB R JENSSEN (PT, DPT, ATC) work in?
You can think of DR. JACOB R JENSSEN (PT, DPT, ATC) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JACOB R JENSSEN (PT, DPT, ATC)?
The page summarizes Monticello, Minnesota for DR. JACOB R JENSSEN (PT, DPT, ATC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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