Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JODY ILLINGWORTH
ActiveMRS. JODY ILLINGWORTH is a Physical Therapy Assistant healthcare provider located in FAIRPORT, New York. NPI 1659761146 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FAIRPORT, NY
Registration Details
- NPI Number
- 1659761146
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 4, 2015 (11.343047720945 yrs)
- Last Updated
- Feb 4, 2015
- License
-
021744-1 (NY)
Practice Information
- Address
-
4646 NINE MILE POINT RDFAIRPORT, NY, 144501163Browse NY providers · Browse ZIP 14450
- Phone
- 5853882374
- Fax
- 5853882346
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FAIRPORT, NY
| Name | Credential | NPI |
|---|---|---|
| MATTHEW STOUTENBURG | P.T. | 1750373783 |
| CHARITY L PEMBROKE | P.T. | 1215929252 |
| MR. GRAHAM R WIDRICK | PT | 1821079427 |
| REBECCA A ADRID | MPT | 1205840717 |
| MR. TODD DOUGLAS WENDL | PT | 1700947587 |
| ANN ELIZABETH ERNST | MS, PT | 1124163274 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.