NPIMap

Organization Active NPI

Jump Start Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Natick, MA
National Provider Identifier
1497769483
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
11437 Issued in MA
Legal business name
JUMP START PHYSICAL THERAPY, INC
Practice address
1 H F Brown Way
Natick, MA 01760-3889
Phone
(508) 647-1633
Fax
(508) 647-1634
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Daniel M Connors, PT, MS, CSCS, USAWNPI 1063402253
Title
Physical Therapist/ Owner
Phone
(508) 647-1633

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
Physical Therapy Clinic/Center 261QP2000X 11437 MA Primary

Addresses

Primary practice location

1 H F Brown Way
Natick, MA 01760-3889

Mailing address

1 H F Brown Way
Natick, MA 01760-3889
Phone (508) 647-1633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622001484 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042295123 Receives reassigned benefits from 17 practitioners
Practice locations: Natick, MA; Newton, MA; Norwood, MA

National Provider Directory

National Provider Directory

Locations

1 H F Brown Way
Natick, MA 01760
Phone (508) 647-1633

247 W Central St
Natick, MA 01760
Phone (508) 647-1633

57 Chapel St
Ste 101
Newton, MA 02458
Phone (617) 467-5901

290 Vanderbilt Ave
Ste 5
Norwood, MA 02062
Phone (781) 349-8235

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1497769483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 H F BROWN WAY",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603889",
            "telephone_number": "508-647-1633",
            "fax_number": "508-647-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 H F BROWN WAY",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603889",
            "telephone_number": "508-647-1633",
            "fax_number": "508-647-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "508-647-1633",
        "authorized_official_credential": "PT, MS, CSCS, USAW"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "11437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.