Jumpstart Pediatrics LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2940 Issued in SC

Legal business name

JUMPSTART PEDIATRICS LLC

Practice address

955 Saint Peters Church Rd
Chapin, SC 29036-8197

Phone

(803) 361-6995

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Rhyno Coetsee, PT

Title

Managing Partner

Phone

(803) 361-6995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1376862656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 SAINT PETERS CHURCH RD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368197",
            "telephone_number": "803-361-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 SAINT PETERS CHURCH RD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368197",
            "telephone_number": "803-361-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPSTART PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "COETSEE",
        "authorized_official_first_name": "RHYNO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "803-361-6995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "2940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Intervention, LLC
• Russell Steven Jacobus, RT(ARRT)
• Angela Slice Jones, MSP, CCC-SLP,BCBA
• Brittany Nicole Jones, FNP-C
• Amy White Joyner, FNP
• Amy Louise Kayekjian, OD
• Janis E Keeton, MD
• Pleshette Johnson Kelly, MA
• Claire King, LPC
• Robert C Kirby, LISW

• Pediatric Physical Therapist in Chapin, SC
• Providers in Chapin, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.