Organization
JUMP START PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON NICOLE YOUNG PT, DPT (CO-OWNER)
(479) 414-3238
Entity
Organization
Contact information
Practice address
106 E FOLSOM BLVD, POCOLA, OK 74902-3150
(479) 414-3238
Mailing address
11200 MAPLE PARK DR, FORT SMITH, AR 72916-9251
(479) 414-3238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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