Dr. Jacqueline Willacy
Physical Therapist in New York, NY. Individual provider (NPI-1).
NPI number1457741340
StatusActive
Last updated in NPPESJan 29, 2015
Details
- NPI
- 1457741340
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacqueline Willacy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2015
- Last updated
- Jan 29, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 029394 | NY | Yes |
Practice location
62 E 88th StNew York, NY 10128-1151
Phone 212-988-2501 · Fax 212-988-2509
Mailing address
12 E 46th St Fl Floor8th Floor
New York, NY 10017-2418
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