NPIMap

Organization Active NPI

Gym-Jam Therapeutics, Inc.

  • Community/Behavioral Health Agency
  • Pottsville, PA
National Provider Identifier
1801337910
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GYM-JAM THERAPEUTICS, INC.
Practice address
150 Chamberlaine Ave
Pottsville, PA 17901-8648
Phone
(570) 593-5484
NPI assigned
Mar 9, 2017
Last updated
Jan 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Will Urbano
Title
Chief Executive Officer
Phone
(610) 466-5620

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

150 Chamberlaine Ave
Pottsville, PA 17901-8648

Mailing address

150 Chamberlaine Ave
Pottsville, PA 17901-8648

Other practice location 1

1019 W 9th Ave
Suite
King Of Prussia, PA 19406-1215
Phone (610) 466-5620

Other practice location 2

625 Community Way Ste Bh
Lancaster, PA 17603-2301
Phone (570) 593-5484

National Provider Directory

National Provider Directory

Locations

1019 W 9th Ave
King of Prussia, PA 19406
Phone (610) 466-5620

314 S Henderson Rd
Ste G
King of Prussia, PA 19406

625 Community Way
Ste Bh
Lancaster, PA 17603
Phone (570) 593-5484

Practitioners & affiliated clinicians

Practitioners 65

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 65

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1801337910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CHAMBERLAINE AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CHAMBERLAINE AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018648",
            "telephone_number": "570-593-5484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 W 9th Ave",
            "address_2": "Suite",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194061215",
            "country_code": "US",
            "telephone_number": "610-466-5620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Community Way Ste Bh",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032301",
            "country_code": "US",
            "telephone_number": "570-593-5484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GYM-JAM THERAPEUTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "URBANO",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "610-466-5620"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.