NPI age
18 years
Enumerated 2008-04-21
● Active Type 2 · Organization
Jump Start Pediatric Therapy, Llc
Jump Start Pediatric Therapy, Llc is 1 of 120 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sanders
Owner / Physical Therapist
Last NPPES update
2012-01-30
Source: monthly bulk 2026-05
How this organization compares
Across 120 active clinic/center providers in Idaho.
NPI age
18 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
411 W Haycraft Ave, Ste B3
Coeur D Alene, ID 838158105
Mailing address
411 W Haycraft Ave, Ste B3
Coeur D Alene, ID 838158105
Authorized official
Ellison Sanders, PT
Owner / Physical Therapist
📞 2086642468
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Gregory Parsons, DC Chiropractor NPI 1275525297
- Ellison Sanders, PT Physical Therapist NPI 1720276850
- Elizabeth Wilson, M.A., CCC-SLP Speech-Language Pathologist NPI 1750629937
- Robyn Zahand Speech-Language Pathologist NPI 1316202591
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807908300 | |
| 01 | 000010164610 | REGENCE BLUE SHIELD |
| 01 | TD687 | BLUE CROSS OF IDAHO |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 120 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.