Jacqueline Leavitt Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JACQUELINE LEAVITT PHYSICAL THERAPY

Practice address

177 Prince St # 409
New York, NY 10012-2946

Phone

(917) 309-4090

NPI assigned

Mar 17, 2008

Last updated

Mar 17, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline Lee Leavitt, MSPT

Title

Physical Therapist

Phone

(917) 309-4090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1750552865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 PRINCE ST # 409",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122946",
            "telephone_number": "917-309-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 PRINCE ST # 409",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122946",
            "telephone_number": "917-309-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE LEAVITT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-309-4090",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Suzanne Jacoby, C.S.W. & PH.D
• Henry Claude Jacotin, M.D.
• Doriel Jacov
• Jacqueline Dauhajre, M.D., P.C.
• Jacqueline Dikansky DDS PC
• Jacqueline M Sutera DPM PC
• Jacqueline W. Muller, M.D., P.C.
• Jeffrey Carlos Jacques
• Sabriella Yves-Rose Jacquet
• Rita-Marie Jacquinto

• 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 Mar 17, 2008; 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.