JUMPING JELLY BEANS PEDIATRIC THERAPY (NPI# 1396145850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396145850 |
| Entity Type | Organization |
| Organization Name | JUMPING JELLY BEANS PEDIATRIC THERAPY |
| Practice Address |
2319 E Matthews Ave Jonesboro AR 72401-4415 |
| Practice Telephone | 8709190274 |
| Practice Fax Number | 8702774335 |
| Mailing Telephone | 8709190274 |
| Mailing Fax Number | 8702774335 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-12 |
| Authorized Official Name | JASON LEE GARDNER (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 8709190274 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | OT 2329 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SP 2878 | AR | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SP 1873 | AR | Speech, Language and Hearing Service Providers |
| Y | 225100000X | Physical Therapist | PT 3047 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 180139721 | 05 | |
| AR | 167155721 | 05 | |
| AR | 180284721 | 05 | |
| AR | 145147721 | 05 |
| Street Address |
2319 E MATTHEWS AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730540303 | Amanda Marie Peters | Occupational Therapy Assistant | 2319 E Matthews Ave, Jonesboro, AR 72401-4415 | 2016-03-10 |
| 1518335173 | Jordan Rorex | Occupational Therapist | 2319 E Matthews Ave, Jonesboro, AR 72401-4415 | 2015-09-11 |
| 1417325465 | Brooke Billingsley | Occupational Therapy Assistant | 2319 E Matthews Ave, Jonesboro, AR 72401-4415 | 2015-09-08 |
| 1528450269 | Elaine Young | Occupational Therapy Assistant | 2319 E Matthews Ave, Jonesboro, AR 72401-4415 | 2015-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518408 | Intuitive Choice Physical Therapy and Wellness, LLC | Physical Therapist | 8624 Shoreline Dr, Jonesboro, GA 30236-4053 | 2020-08-10 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1356964670 | Tiffany Dawn Waters | Physical Therapist | 260 Lake Ridge Trl, Jonesboro, LA 71251-6621 | 2020-05-20 |
| 1497374318 | Pelvic Floor and Core Physical Therapy of Jonesboro LLC | Physical Therapist | 1107 E Matthews Ave Ste 105, Jonesboro, AR 72401-4315 | 2020-04-10 |
| 1588120463 | Cody Hubble | Physical Therapist | 995 Route 127 South, Jonesboro, IL 62952 | 2019-02-15 |
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1174090625 | Marci Moffitt | Physical Therapist | 1701 Latourette Ln, Jonesboro, AR 72404-0797 | 2018-11-01 |
| 1013428671 | Neal Tice | Physical Therapist | 2729 E Nettleton Ave Ste B, Jonesboro, AR 72401-4545 | 2017-10-22 |
| 1699296715 | Joseph Birdsong | Physical Therapist | 2207 Watergate St, Jonesboro, AR 72401-7880 | 2017-06-28 |
| 1831636398 | Eunice Mcmurtry | Physical Therapist | 7545 Fielder Rd, Jonesboro, GA 30236-2774 | 2017-01-23 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.