Jump Start Therapy Services, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8967 Issued in NC

Legal business name

JUMP START THERAPY SERVICES, PLLC

Practice address

803 Dahlia CT
Jacksonville, NC 28546-4627

Phone

(803) 378-3768

NPI assigned

Jun 22, 2015

Organization subpart

No

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

Authorized official

Name

Channell Clark Summers, MA, CCC-SLPNPI 1962592345

Title

Speech Language Pathologist

Phone

(803) 378-3768

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Channell Summers, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Columbia, SC
  • NPI 1962592345
  NPD (past) Authorized official

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1689056178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 DAHLIA CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285464627",
            "telephone_number": "803-378-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 DAHLIA CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285464627",
            "telephone_number": "803-378-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "CHANNELL",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "803-378-3768",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph F Colligan MD
• Daniela Joseph, FNP-BC
• Michael Josilevich, M.D.
• Courtney Jost
• Anastasia Marie Judge-Arauz
• Alison Denise Junkin, DDS
• K. Jasinski, D.M.D., P.C. (Coastal Carolina Dental Care)
• Sara Ann Kaeding, M.ED., NCC, LCMHC-A
• Jugta Kahai, MD
• Amanda Kayla Kahler, PA-C

• Speech-Language Pathologist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.