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General NPI Number Information
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NPI Number | 1659230860
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Entity Type | Organization
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Legal Business Name | JUMPSTART PEDIATRIC PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 712 GEMSTONE DR
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City | SAN MARCOS
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State | CA
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Zip | 92078-1410
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Country | US
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Telephone | 925-584-0755
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 6TH AVE STE 550 PMB 596342
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City | SAN DIEGO
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State | CA
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Zip | 92101-5211
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Country | US
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Telephone | 925-584-0755
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIANNA NICOLE BERNSTEIN
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Credential | PT, DPT
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Telephone | 925-584-0755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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