Active NPI
Jump Start Physical Therapy
- Pediatric Physical Therapist
- Denver, CO
National Provider Identifier
1225498009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 11022
- Legal business name
- JUMP START PHYSICAL THERAPY
- Practice address
- 555 E 10TH Ave
#502
Denver, CO 80203-3255 - Phone
- (303) 909-5743
- NPI assigned
- Mar 7, 2016
- Last updated
- Mar 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly N Thornton, DPT
- Title
- Physical Therapist
- Phone
- (303) 909-5743
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 11022 | CO | Primary |
Addresses
Primary practice location
555 E 10TH Ave
#502
Denver, CO 80203-3255
Mailing address
555 E 10TH Ave
#502
Denver, CO 80203-3255
Phone (303) 909-5743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37979264 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Saint Peters, MO
- NPI 1932405446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457308800000",
"number": "1225498009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E 10TH AVE",
"address_2": "#502",
"city": "DENVER",
"state": "CO",
"postal_code": "802033255",
"telephone_number": "303-909-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E 10TH AVE",
"address_2": "#502",
"city": "DENVER",
"state": "CO",
"postal_code": "802033255",
"telephone_number": "303-909-5743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUMP START PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-07",
"last_updated": "2016-03-07",
"status": "A",
"authorized_official_last_name": "THORNTON",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "303-909-5743",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CO",
"license": "11022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37979264",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.