Jacqueline Willacy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029394 Issued in NY

Practice address

62 E 88TH St
New York, NY 10128-1151

Phone

(212) 988-2501

Fax

(212) 988-2509

NPI assigned

Jan 29, 2015

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

State licenses

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1457741340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 46TH ST FL FLOOR",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E 88TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281151",
            "telephone_number": "212-988-2501",
            "fax_number": "212-988-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLACY",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Wilks
• Alaine Courtney Will, AGACNP
• Elizabeth Marie Will, MD
• Marie Will, MD, PHD
• Scott Andrew Will, LMSW
• Jennifer Willard, OTR/L
• Alexandra Wille, PH.D.
• Brendan Wille
• Helen Corinne Fall Willeboordse, LCSW
• Maurice Willekens, P.T

• Physical Therapist in New York, NY
• Providers in New York, 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 Jan 29, 2015; 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.