Jump Start Pediatric Therapy Llc is a
Physical Therapist based in Pocola, Oklahoma. Jump Start Pediatric Therapy Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
106 E Folsom Blvd, Pocola, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(479) 414-3238.
NPI number for Jump Start Pediatric Therapy Llc is 1023955069 and their current mailing address is 11200 Maple Park Dr, Fort Smith, Arkansas. Jump Start Pediatric Therapy Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1023955069.
Healthcare Provider's Profile
| Full Name | Jump Start Pediatric Therapy Llc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 106 E Folsom Blvd, Pocola, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023955069
- Provider Enumeration Date: 04/29/2026
- Last Update Date: 04/29/2026
Medical Identifiers
Medical identifiers for Jump Start Pediatric Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023955069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jump Start Pediatric Therapy Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jump Start Pediatric Therapy Llc
11200 Maple Park Dr,
Fort Smith, AR 72916-9251
Ph: (479) 414-3238 | Jump Start Pediatric Therapy Llc
106 E Folsom Blvd,
Pocola, OK 74902-3150
Ph: (479) 414-3238 |
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