Jumping Jelly Beans Pediatric Therapy

LBN: Jumping Jelly Beans Pediatric Therapy
Jumping Jelly Beans Pediatric Therapy is an health care organization with primary practice located at 2319 E Matthews Ave , Jonesboro AR 72401-4415. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Jumping Jelly Beans Pediatric Therapy can be contacted via phone (870) 919-0274, or through Gardner, Jason Lee via phone (870) 919-0274.

Contact Information

Primary practice address
2319 E Matthews Ave Jonesboro AR 72401-4415
Fax: (870) 277-4335
Website:
Authorized official contact:
Name: Gardner, Jason Lee Physical Therapist (PT)

Profile Details

NPI number 1396145850
LBN Legal business name Jumping Jelly Beans Pediatric Therapy
DBA Doing business as
Authorized official Gardner, Jason Lee Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2014
Last updated Sep 12th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396145850 NPPES
Arkansas MEDICAID 145147721
Arkansas MEDICAID 180139721
Arkansas MEDICAID 180284721
Arkansas MEDICAID 167155721

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