Active NPI
Jabbergym, Inc.
- Speech-Language Pathologist
- Roseville, CA
National Provider Identifier
1861623175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- JABBERGYM, INC.
- Practice address
- 151 N Sunrise Ave
Suite 1105
Roseville, CA 95661-2924 - Phone
- (916) 771-8255
- Fax
- (916) 771-8211
- NPI assigned
- Aug 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dayna R Thomas, M.S. CCC-SLP
- Title
- Ceo
- Phone
- (916) 390-9699
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Physical Therapy Assistant | 225200000X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
151 N Sunrise Ave
Suite 1105
Roseville, CA 95661-2924
Mailing address
151 N Sunrise Ave
Suite 1105
Roseville, CA 95661-2924
Phone (916) 771-8255
National Provider Directory
National Provider Directory- Tax ID family
- Jabbergym Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Sacramento, CA
- NPI 1295014025
Locations
151 N Sunrise Ave
Ste 1105
Roseville, CA 95661
Phone (916) 771-8255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249344000000",
"number": "1861623175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 N SUNRISE AVE",
"address_2": "SUITE 1105",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612924",
"telephone_number": "916-771-8255",
"fax_number": "916-771-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N SUNRISE AVE",
"address_2": "SUITE 1105",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612924",
"telephone_number": "916-771-8255",
"fax_number": "916-771-8211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JABBERGYM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-04",
"last_updated": "2009-08-04",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "DAYNA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-390-9699",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.