Jump Start Therapy Place
Jump Start Therapy Place provides Physical Therapist services in Staten Island, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
4131 Richmond AveStaten Island, NY 10312-5633
Phone: (718) 351-0308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 05516 (NY) |
|---|---|
| Occupational Therapist | Taxonomy 225X00000X · Licence 006852 (NY) |
Record details
| NPI number | 1316203946 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yelena Nemtsova — President · (917) 622-2612 |
| NPI enumerated | April 9, 2012 |
| Last updated in NPPES | October 12, 2016 |
| Mailing address | 4131 Richmond Ave, Staten Island, NY 10312-5633 |
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