Organization Active NPI

Jumpstart Therapy Services, LLC

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1053522391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT003970 Issued in GA
Legal business name
JUMPSTART THERAPY SERVICES, LLC
Practice address
300 Bainbridge Dr NW
Atlanta, GA 30327-4271
Phone
(404) 550-9476
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ann Stensaas, OT
Title
OT
Phone
(404) 550-9476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT003970 GA Primary

Addresses

Primary practice location

300 Bainbridge Dr NW
Atlanta, GA 30327-4271

Mailing address

300 Bainbridge Dr NW
Atlanta, GA 30327-4271
Phone (404) 550-9476

Other identifiers 1

IdentifierTypeStateIssuer
52152600OtherGABLUECROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053522391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BAINBRIDGE DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274271",
            "telephone_number": "404-550-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAINBRIDGE DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274271",
            "telephone_number": "404-550-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPSTART THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STENSAAS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OT",
        "authorized_official_telephone_number": "404-550-9476",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "52152600",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.