Active NPI
Jacquelyn Alyse Albarracin, PTA
- Physical Therapy Assistant
- Bay Shore, NY
National Provider Identifier
1639085186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 015524
- Practice address
- 1470 Sunrise Hwy
Bay Shore, NY 11706-6021 - Phone
- (631) 446-1480
- NPI assigned
- Aug 24, 2026
- Last updated
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 015524 | NY | Primary |
Addresses
Primary practice location
1470 Sunrise Hwy
Bay Shore, NY 11706-6021
Mailing address
90 Bayview Ave
Bayport, NY 11705-2110
Phone (626) 417-5643
Other practice location 1
400 S Service Rd
Patchogue, NY 11772-2254
Phone (631) 284-4561
Other names 1
- Jacquelyn Alyse Hile
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maximum Motion Physical Therapy PLLC | Past | Accepting new patients | |
| Reddy Care Physical Therapy PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Amityville, NY
- NPI 1578720645
-
- Specialist
- Great Neck, NY
- NPI 1932171097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1639085186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 BAYVIEW AVE",
"city": "BAYPORT",
"state": "NY",
"postal_code": "117052110",
"telephone_number": "626-417-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 SUNRISE HWY",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117066021",
"telephone_number": "631-446-1480"
}
],
"practiceLocations": [
{
"address_1": "400 S Service Rd",
"address_purpose": "LOCATION",
"city": "Patchogue",
"state": "NY",
"postal_code": "117722254",
"country_code": "US",
"telephone_number": "631-284-4561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBARRACIN",
"first_name": "JACQUELYN",
"middle_name": "ALYSE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "015524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELYN",
"last_name": "HILE",
"middle_name": "ALYSE",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.