NPIMap

Organization Active NPI

Jumpstart Therapies LLC

  • Speech-Language Pathologist
  • Gettysburg, PA
National Provider Identifier
1548783004
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL009773 Issued in PA
Legal business name
JUMPSTART THERAPIES LLC
Practice address
736 Harrison Dr
Gettysburg, PA 17325-8961
Phone
(760) 814-0179
NPI assigned
Jul 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Brooke H Barrett, MS, CCC-SLPNPI 1134305261
Title
Owner
Phone
(760) 814-0179

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X PA
Speech-Language Pathologist 235Z00000X SL009773 PA Primary
Physical Therapy Clinic/Center 261QP2000X PA

Addresses

Primary practice location

736 Harrison Dr
Gettysburg, PA 17325-8961

Mailing address

736 Harrison Dr
Gettysburg, PA 17325-8961
Phone (760) 814-0179

Other identifiers 2

IdentifierTypeStateIssuer
102818996MedicaidPA
103223290MedicaidPA

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": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548783004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 HARRISON DR",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258961",
            "telephone_number": "760-814-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 HARRISON DR",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258961",
            "telephone_number": "760-814-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPSTART THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-814-0179",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009773",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102818996",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103223290",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.