Jacquelyn Dana Worth, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017016 Issued in NY

Practice address

1395 Lexington Ave
92 Street Y Mezzanine Level
Nyc, NY 10128

Phone

(646) 707-0400

NPI assigned

Jul 14, 2009

Last updated

Oct 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back to Sports Physical Therapy, P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1952414567
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1225267065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 LEXINGTON AVE",
            "address_2": "92 STREET Y MEZZANINE LEVEL",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "646-707-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 LEXINGTON AVE",
            "address_2": "92 STREET Y MEZZANINE LEVEL",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "646-707-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTH",
        "first_name": "JACQUELYN",
        "middle_name": "DANA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ania Wajnberg, MD
• George Weingarten, MD
• Rebecca Jo White, RN, PNP
• David Benjamin Wiley, M.D.
• Mary Ann Willoughby, M.S.L.AC
• Maryellen Wyllie, NP

• Physical Therapist in Nyc, NY
• Providers in Nyc, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.