Organization Active NPI

Jump Start Physical Therapy

  • Physical Therapist
  • Magnolia, TX
National Provider Identifier
1710209689
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JUMP START PHYSICAL THERAPY
Practice address
38043 Windy Ridge TRL
Magnolia, TX 77355
Phone
(832) 656-7660
Fax
(832) 559-7720
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Wendy M Gibbs, PTNPI 1609836675
Title
Owner, PT
Phone
(832) 656-7660

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

38043 Windy Ridge TRL
Magnolia, TX 77355

Mailing address

38043 Windy Ridge TRL
Magnolia, TX 77355
Phone (832) 656-7660

Other identifiers 1

IdentifierTypeStateIssuer
206612801MedicaidTX

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.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1710209689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38043 WINDY RIDGE TRL",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "77355",
            "telephone_number": "832-656-7660",
            "fax_number": "832-559-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38043 WINDY RIDGE TRL",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "77355",
            "telephone_number": "832-656-7660",
            "fax_number": "832-559-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "832-656-7660",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206612801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.