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NPI Code Detail

MEDICARE: ALYSA NICOLE JENSEN OTD, OTR/L

MEDICARE: ALYSA NICOLE JENSEN OTD, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist2924NE

General Provider Information

NPI Number : 1013857267
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSA NICOLE JENSEN OTD, OTR/L
Provider Business Mailing Address
First Line : 5401 SOUTH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68506-2150
Country : US
Telephone Number : 402-413-3900
Fax Number :
Provider Business Practice Location Address
First Line : 5401 SOUTH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68506-2150
Country : US
Telephone Number : 402-413-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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