NPIMap

Organization Active NPI

Jump Start Pediatric Therapy Center, LLC

  • Speech-Language Pathologist
  • Fort Worth, TX
National Provider Identifier
1487889671
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102326 Issued in TX
Legal business name
JUMP START PEDIATRIC THERAPY CENTER, LLC
Practice address
7500 N. Beach St.
Fort Worth, TX 76137
Phone
(817) 514-6333
Fax
(817) 514-6334
NPI assigned
May 18, 2009
Last updated
Feb 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Lauren Sachar Roe, MS, CCC -SLIPNPI 1003022690
Title
Owner,Coo, Speech-Language Patholog
Phone
(817) 514-6333

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 102326 TX Primary

Addresses

Primary practice location

7500 N. Beach St.
Fort Worth, TX 76137

Mailing address

7500 N. Beach St.
Fort Worth, TX 76137
Phone (817) 514-6333

National Provider Directory

National Provider Directory

Locations

5310 North Tarrant Pkwy
Ste 152
Fort Worth, TX 76244
Phone (817) 514-6333

5411 Basswood Blvd
Ste 221
Ft Worth, TX 76137
Phone (817) 514-6333

7500 N Beach St
Ft Worth, TX 76137
Phone (817) 498-1818

Practitioners & affiliated clinicians

Practitioners 12

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": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1487889671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N. BEACH ST.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-514-6333",
            "fax_number": "817-514-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N. BEACH ST.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-514-6333",
            "fax_number": "817-514-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START PEDIATRIC THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "SACHAR",
        "authorized_official_title_or_position": "OWNER,COO, SPEECH-LANGUAGE PATHOLOG",
        "authorized_official_telephone_number": "817-514-6333",
        "authorized_official_credential": "MS, CCC -SLIP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.