Jacqueline Small

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005840 Issued in NY

Practice address

206 Belmont Pkwy
Hempstead, NY 11550-6506

Phone

(516) 582-7714

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1033833348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BELMONT PKWY",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115506506",
            "telephone_number": "516-582-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BELMONT PKWY",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115506506",
            "telephone_number": "516-582-7714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Wall St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100051304",
            "country_code": "US",
            "telephone_number": "855-461-2380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Jordan Skolkin
• Konstantina Skrepetos
• Sleepwellny LTD.
• Howard Slomko, D.O.
• Rebecca Ann Slone
• Nadia Smith-Litchfield, R.N.
• Jenna Rose Smith, PA-C
• Rachel Smith, L.P.N
• Roxanne Smith
• Tevin Smith

• Physical Therapy Assistant in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.