The Jungle Gym is a Pediatrics in , . The Jungle Gym practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for The Jungle Gym is 1487796454. The last update date is 2020-08-22.
The Jungle Gym's current location address is , , . You can contact this provider via phone number . The mailing address for The Jungle Gym is , , . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Jungle Gym |
|---|---|
| Address | , , |
| Phone Number | |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-OWNER |
|---|---|
| Authorized Official Name | Goff D Tracey |
| Credentials | DPT |
| Telephone Number | 3027341515 |
NPI Number Detail
| NPI Number | 1487796454 |
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| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
| Post Code | |
| Phone Number | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 2005212081 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the The Jungle Gym's 1487796454?
The The Jungle Gym's NPI (National Provider Identifier) Number is 1487796454. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of The Jungle Gym?
The The Jungle Gym is situated at , in the city of , state of , with the zip code .
What is the area of specialization for The Jungle Gym, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for The Jungle Gym is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.
On what date did The Jungle Gym receive its 1487796454 assignment from the Centers for Medicare & Medicaid Services?
The The Jungle Gym was assigned its 1487796454 on 2007-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the The Jungle Gym's information last updated?
The The Jungle Gym's information was last updated on 2020-08-22.
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