Jaclyn Marie Mascho, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013897-1 Issued in NY

Practice address

2753 Johnson Rd
Horseheads, NY 14845-9500

Phone

(607) 739-9312

Fax

(607) 739-9312

NPI assigned

Nov 3, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Orthopedic and Sports Therapy Associates, LLP

  • Physical Therapist
  • Elmira, NY
  • NPI 1700965407
  NPD (past)
• Rehab at Home Physical Therapy, PLLC

  • Physical Therapist
  • Horseheads, NY
  • NPI 1104879949
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952480741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 JOHNSON RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148459500",
            "telephone_number": "607-739-9312",
            "fax_number": "607-739-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 JOHNSON RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148459500",
            "telephone_number": "607-739-9312",
            "fax_number": "607-739-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCHO",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013897-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Makasziw
• Abdelkader Mallouk, MD, OD
• Christopher Malvica, PTA, DPT
• Marc T Riley, PT, PC (Elite Therapy NY)
• Cori Allyn Martino, PHARMD
• Norma Jean Mattocks, NP
• Joshua J Mattucci
• Peter Walter May, DMD
• Carol Ann Maye, RN/BSN
• Edward Joseph McDonald Jr., DPT

• Physical Therapist in Horseheads, NY
• Providers in Horseheads, 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 Jul 9, 2007; 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.