JUMP START PEDIATRIC THERAPY, LLC
NPI 1144494105
Clinic/Center - Physical Therapy in Coeur D Alene, ID

Active since April 21, 2008
411 W HAYCRAFT AVE, STE B3, COEUR D ALENE, ID 83815(208) 664-2468(208) 667-6239 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jump Start Pediatric Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUMP START PEDIATRIC THERAPY, LLC (NPI 1144494105) is a healthcare organization registered as a physical therapy in Coeur D Alene, Idaho and active in the NPI registry since April 2008. The organization lists Ellison Sanders, Owner / Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1144494105
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameJUMP START PEDIATRIC THERAPY, LLC
Location Address411 W HAYCRAFT AVE, STE B3Coeur D Alene, ID 83815-8105
Mailing Address411 W Haycraft Ave, Ste B3Coeur D Alene, ID 83815-8105 · (208) 664-2468 · Fax (208) 667-6239
Fax(208) 667-6239
Organization SubpartNo
Authorized OfficialEllison SandersOwner / Physical Therapist · (208) 664-2468
Enumeration DateApril 21, 2008
Last NPPES UpdateJanuary 30, 2012
NPI 1144494105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in ID · PT-2061
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
411 W HAYCRAFT AVE, Coeur D Alene, ID 83815

Other Identifiers 4

OtherTD687Blue Cross Of Idaho
Medicare PIN1650033
Other000010164610Regence Blue Shield
Medicaid807908300ID

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
411 W HAYCRAFT AVE, SUITE B2
COEUR D ALENE, ID 83815
Chiropractor
411 W HAYCRAFT AVE, STE D-1
COEUR D ALENE, ID 83815
Speech-Language Pathologist
411 W HAYCRAFT AVE, STE D4
COEUR D ALENE, ID 83815
Physical Therapist (Pediatrics)
411 W HAYCRAFT AVE, STE B3
COEUR D ALENE, ID 83815
Speech-Language Pathologist
411 W HAYCRAFT AVE, SUITE D4
COEUR D ALENE, ID 83815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jump Start Pediatric Therapy, LLC's NPI number?

The NPI number for Jump Start Pediatric Therapy, LLC is 1144494105. It was assigned to this organization in the NPPES registry on April 21, 2008.

Where is Jump Start Pediatric Therapy, LLC located?

Jump Start Pediatric Therapy, LLC is located at 411 W Haycraft Ave Ste B3, Coeur D Alene, ID 83815. The listed phone number is (208) 664-2468.

What is Jump Start Pediatric Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Jump Start Pediatric Therapy, LLC was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.