Jacquilyn Boling Kondo, PT

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

052315-01 Issued in NY

Practice address

8332 Cornish Avenue
Floor 1
Elmhurst, NY 11373

Phone

(917) 391-6849

NPI assigned

Aug 31, 2026

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

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1447168513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8332 CORNISH AVENUE",
            "address_2": "FLOOR 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "917-391-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8332 CORNISH AVENUE",
            "address_2": "FLOOR 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "917-391-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDO",
        "first_name": "JACQUILYN",
        "middle_name": "BOLING",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NY",
            "license": "052315-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Y Ko, DPT
• Vivian Ko
• Dara Rose Mahler Kocaoglu, PH.D.
• Samantha Morgan Kohn, LMSW
• Bhama P Kolla, M.D.
• Main Sen Koo
• William K. Kopp, D.D.S.
• Kristina C Kordesch, NP
• Kayla Korff, RD, CDN
• Vasilios A Kostakis, DDS

• Orthotic Fitter in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Orthotic Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.