THE JUNGLE GYM (NPI# 1487796454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487796454 |
| Entity Type | Organization |
| Organization Name | THE JUNGLE GYM |
| Practice Address |
19 Shinnecock Road Dover DE 19904 |
| Practice Telephone | 3027341515 |
| Practice Fax Number | 3027341591 |
| Mailing Telephone | 3027341515 |
| Mailing Fax Number | 3027341591 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. TRACEY D GOFF (CO-OWNER) |
| Authorized Official Telephone | 3027341515 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2005212081 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
2005212081 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 235Z00000X | Speech-Language Pathologist | 2005212081 | DE | Speech, Language and Hearing Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | THE JUNGLE GYM | 887 Main St, 887 Main St, Dallas, OR 97338 |
| Oregon Corporations, Companies and Business Names | THE JUNGLE GYM - PEDIATRIC THERAPY CENTER | 306 S Sixth St, Klamath Falls, OR 97601 |
| Virginia Business Entities | The Jungle Gym Mobile Gymnastics LLC | 668 Jonna St., Crozet, Virginia 22932 |
| Colorado Business Entities | THE JUNGLE GYM, LLC | 2360c Montebello Sq Dr, Colorado Springs, CO 80918 |
| Street Address |
19 SHINNECOCK ROAD |
| City | DOVER |
| State | DE |
| Zip Code | 19904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003238502 | Jason Paul Beaman | Physical Therapist | 905 Newgate Ln, Wilmington, DE 19808-1527 | 2014-01-17 |
| 1922145366 | Jennifer Tauras Twining | Physical Therapist | 278 Sorghum Mill Rd, Camden, DE 19934-1935 | 2007-02-01 |
| 1144841859 | Paige Elizabeth Thomas | Physical Therapist | 15 Reads Way Ste 205, New Castle, DE 19720-1600 | 2020-05-04 |
| 1902304157 | Rebecca Youngblood | Physical Therapist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2018-01-23 |
| 1811402522 | Supritha Nagaraj Polubothu | Physical Therapist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2017-12-05 |
| 1568918456 | Matthew Harris | Physical Therapist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2016-08-30 |
| 1164828307 | Sarah Catherine Flynn | Physical Therapist | 925 Bear Corbitt Rd, Bear, DE 19701-1323 | 2014-11-17 |
| 1700086576 | Donna L. Temple | Physical Therapist | 22317 Dupont Blvd, Easter Seals Delaware and Maryland's Eastern Shore, Georgetown, DE 19947 | 2007-07-20 |
| 1033277603 | Lisa Pozzi Ross | Physical Therapist | 1600 N Washington St, Wilmington, DE 19802-4722 | 2006-12-05 |
Please comment or provide details below to improve the information on THE JUNGLE GYM.
| 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.