Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jedediah Lars Jensen, DO

Individual provider Internal Medicine Physician · NPI 1952621872

Jedediah Lars Jensen, DO is a Sports Medicine in Burlington, Wisconsin. Qualified in 2010, 16 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
16
Licensed in
MI, WI
In the registry since
2010
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

709 Spring Valley Rd
Burlington, WI 53105-7614
Phone: (262) 971-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X · Licence 73430 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5101018776 (MI)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 5101018776 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 5101018776 (MI)

Record details

NPI number1952621872
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 2, 2010
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address3301 W Forest Home Ave, Milwaukee, WI 53215-2843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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