Jacqueline Christine Delaney, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA22940 Issued in FL

Practice address

600 North Blvd W
Suite D
Leesburg, FL 34748-5063

Phone

(352) 728-6636

Fax

(352) 787-4522

NPI assigned

Nov 14, 2011

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

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1700163052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTH BLVD W",
            "address_2": "SUITE D",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485063",
            "telephone_number": "352-728-6636",
            "fax_number": "352-787-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTH BLVD W",
            "address_2": "SUITE D",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485063",
            "telephone_number": "352-728-6636",
            "fax_number": "352-787-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "JACQUELINE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA22940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Scott Davis, LPTA
• Marlana Davis
• Tarson De Mesquita Passos, PT
• Deaf Services of Lake County, Inc. (Deaf and Hearing Services of Lake & Sumter Counties, Inc.)
• Dolores Degiacomo, LCSW
• Humberto R Delgado, M.D.
• Magaly Delgado, PSY.D.
• Demossis Haven
• Lorenza Marie Denby, RPH
• Denly N, Inc. Dna Savannah Manor

• Physical Therapy Assistant in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.