Organization Active NPI

Jump Start Physical Therapy

  • Pediatric Physical Therapist
  • Denver, CO
National Provider Identifier
1225498009
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
11022 Issued in CO
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Kelly N Thornton, DPTNPI 1932405446
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
37979264MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.