Active NPI
Jaclyn Nicole Hatcher, DPT
- Physical Therapist
- White Plains, NY
National Provider Identifier
1952555641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62 030455
- Practice address
- 470 Mamaroneck Ave Ste 204
White Plains, NY 10605-1839 - Phone
- (914) 421-8270
- NPI assigned
- Nov 9, 2008
- 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 Therapist | 225100000X | 62 030455 | NY | Primary |
Addresses
Primary practice location
470 Mamaroneck Ave Ste 204
White Plains, NY 10605-1839
Mailing address
112 Milltown Rd
Holmes, NY 12531-5006
Phone (845) 661-4833
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62 030455 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Wonders OT PT SLP PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- White Plains, NY
- NPI 1306098553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226188800000",
"number": "1952555641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MILLTOWN RD",
"city": "HOLMES",
"state": "NY",
"postal_code": "125315006",
"telephone_number": "845-661-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 MAMARONECK AVE STE 204",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051839",
"telephone_number": "914-421-8270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHER",
"first_name": "JACLYN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-09",
"last_updated": "2008-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62 030455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.