NPI age
11 years
Enumerated 2015-05-11
● Active Type 2 · Organization
Jump Start Pediatrics
Jump Start Pediatrics is 1 of 3 supports brokerage organizations in Idaho.
Primary specialty
Supports Brokerage
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fahey
Office Manager
Last NPPES update
2015-05-11
Source: monthly bulk 2026-05
How this organization compares
Across 3 active supports brokerage providers in Idaho.
NPI age
11 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-05Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
411 W Haycraft Ave Ste D4
Coeur D Alene, ID 838158104
Mailing address
411 W Haycraft Ave Ste D4
Coeur D Alene, ID 838158104
Authorized official
Becca Fahey
Office Manager
📞 2086642468
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Megan Marney, OTR/L Occupational Therapist NPI 1184002750
- Sharron McMillan, DPT Physical Therapist NPI 1033681499
- Lanmana Parys-Wolodkewitsch Occupational Therapist NPI 1093279648
- Christi Shelley, MSOT, OTR Occupational Therapist NPI 1710426150
- Megan Webb, PT, DPT Physical Therapist NPI 1518310275
- Diana Williams, CF-SLP Speech-Language Pathologist NPI 1790161388
- Dana Zylstra, OTR/L Occupational Therapist NPI 1821615881
Specialties
-
Supports Brokerage PrimaryA provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the...
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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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.