NPIMap

Organization Active NPI

Jumpstart PT 4 Kids LLC

  • Physical Therapist
  • Dardenne Prairie, MO
National Provider Identifier
1982027520
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
109323 Issued in MO
Legal business name
JUMPSTART PT 4 KIDS LLC
Practice address
643 Knollshire Way
Dardenne Prairie, MO 63368-8379
Phone
(636) 541-2398
Fax
(636) 265-2158
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Jennifer BeckerNPI 1194005447
Title
Pta
Phone
(636) 541-2398

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 109323 MO Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 115066 MO

Addresses

Primary practice location

643 Knollshire Way
Dardenne Prairie, MO 63368-8379

Mailing address

643 Knollshire Way
Dardenne Prairie, MO 63368-8379
Phone (636) 541-2398

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1982027520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 KNOLLSHIRE WAY",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633688379",
            "telephone_number": "636-541-2398",
            "fax_number": "636-265-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 KNOLLSHIRE WAY",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633688379",
            "telephone_number": "636-541-2398",
            "fax_number": "636-265-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPSTART PT 4 KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "636-541-2398"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "109323",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "115066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardenne Prairie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.