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Jump Start Pediatric Therapy, LLC

Physical Therapy Clinic/Center in Coeur D Alene, ID · enumerated 2008 · authorized official Ellison Sanders, Owner / Physical Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144494105

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Registry record

Entity type Organization (Type 2)
Legal business name Jump Start Pediatric Therapy, LLC
Practice address 411 W Haycraft Ave, Ste B3, Coeur D Alene, ID, 83815
Fax (208) 667-6239
Enumeration date Apr 21, 2008
Last updated in NPPES Jan 30, 2012

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License PT-2061 (ID) Primary

Authorized official

Name Ellison Sanders
Title Owner / Physical Therapist

Other identifiers

Identifier Type State Issuer
807908300 Medicaid ID -
000010164610 Other - REGENCE BLUE SHIELD
TD687 Other - BLUE CROSS OF IDAHO

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Jump Start Pediatric Therapy, LLC?
NPPES lists Ellison Sanders (Owner / Physical Therapist) as the authorized official for this organization.
What is the NPI number for Jump Start Pediatric Therapy, LLC?
The NPI for Jump Start Pediatric Therapy, LLC is 1144494105, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-30.