Organization Active NPI

Jump Start Physical Therapy, PLLC

  • Early Intervention Provider Agency
  • Apalachin, NY
National Provider Identifier
1457659690
Registry record updated Mar 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
017408 Issued in NY
Legal business name
JUMP START PHYSICAL THERAPY, PLLC
Practice address
23 W Glann Rd
Apalachin, NY 13732-4026
Phone
(607) 725-0889
NPI assigned
Mar 12, 2011
Last updated
Mar 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2011

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

Authorized official

Name
Mrs. Jessica Marie Reinartz, PT, DPTNPI 1396980579
Title
Physical Therapist/ Owner
Phone
(607) 725-0889

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
Early Intervention Provider Agency 252Y00000X 017408 NY Primary

Addresses

Primary practice location

23 W Glann Rd
Apalachin, NY 13732-4026

Mailing address

23 W Glann Rd
Apalachin, NY 13732-4026
Phone (607) 725-0889

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1299888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299888000000",
    "number": "1457659690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W GLANN RD",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137324026",
            "telephone_number": "607-725-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W GLANN RD",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137324026",
            "telephone_number": "607-725-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-12",
        "last_updated": "2011-03-12",
        "status": "A",
        "authorized_official_last_name": "REINARTZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "607-725-0889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "017408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apalachin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2011; 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.