JACQUELINE CONNOLLY (NPI# 1760509400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760509400 |
| Entity Type | Individual |
| Full Name | JACQUELINE CONNOLLY |
| Practice Address |
380 Washington Ave Roosevelt NY 11575-1845 |
| Mailing Address |
21908 43rd Ave Bayside NY 11361-3523 |
| Practice Telephone | 5163782000 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 002872 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699218339 | Jacqueline Connolly | Occupational Therapist | 49 Walnut St, Bldg. 3, Wellesley, MA 02481-2117 | 2016-11-29 |
| 1043456494 | Jacqueline Connolly | Chiropractor | 4560 Admiralty Way, Suite 252, Marina Del Rey, CA 90292-5423 | 2009-01-06 |
| 1457384273 | Jacqueline M Connolly | Nurse Practitioner | 819 S Salina St, Syracuse, NY 13202-3527 | 2006-07-07 |
| Street Address |
380 WASHINGTON AVE |
| City | ROOSEVELT |
| State | NY |
| Zip Code | 11575-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093743072 | Catherine Finelli | Counselor | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2006-06-29 |
| 1700437860 | Kerry Mogavero | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-09-20 |
| 1093360992 | Jyoti Bariana | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-08-07 |
| 1649824756 | Jennifer Therese Martin | Speech-Language Pathologist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-07-26 |
| 1578036125 | Victoria Marie Genova | Speech-Language Pathologist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-01-07 |
| 1770067258 | Alicia Marie Sauerland | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-20 |
| 1316421787 | Pamela Holly Pollack | Physical Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-20 |
| 1962985333 | Patricia Josephine Telford | Specialist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2018-09-12 |
| 1912411471 | Damion Singh | Occupational Therapist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2017-11-20 |
| 1952813545 | Elizabeth Zofia Candela-krupp | Dental Hygienist | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2017-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695800 | Joi Emmanuel | Social Worker | 335 East Clinton Avenue, Roosevelt, NY 11575 | 2019-02-19 |
| 1568838654 | Patricia Roots | Licensed Practical Nurse | 76 W Centennial Ave, Roosevelt, NY 11575 | 2015-08-12 |
| 1235413782 | Belle Cleaning Services LLC | Preferred Provider Organization | 64 Elmwood Ave, Roosevelt, NY 11575 | 2011-10-03 |
| 1194970715 | Lisa B. Maniatis-fitting | Physical Therapy Assistant | 360 Washington Ave., Roosevelt, NY 11575 | 2008-11-24 |
| 1629131792 | Naomi Deborah Steinberg | Social Worker | Ucpn-380 Washington Ave, Roosevelt, New York, NY 11575 | 2006-12-19 |
| 1750340212 | Eleanor Babinski | Pediatrics | 150 E. Sunrise Hwy, Suite 105, Lindenhurst, NY 11575 | 2006-03-22 |
| 1558778407 | Eac, Inc. | Day Training, Developmentally Disabled Services | 50 Clinton Street, Hempstead, NY 11575 | 2014-07-11 |
| 1720415342 | Kristen Leigh Gaglio | Specialist | 380 Washington Avenue, Roosevelt, NY 11575 | 2013-09-27 |
| 1083992192 | Stefanie Gofter | Occupational Therapist | 380 Washington Avenue, Roosevelt, NY 11575 | 2011-07-25 |
| 1437304045 | Bobby Nabeyama | Physical Therapist | 360 Washington Ave, Roosevelt, NY 11575 | 2008-11-24 |
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| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194970715 | Lisa B. Maniatis-fitting | Physical Therapy Assistant | 360 Washington Ave., Roosevelt, NY 11575 | 2008-11-24 |
| 1780202531 | Ann Dugue | Physical Therapy Assistant | 35 Catlin Ave, Roosevelt, NY 11575-1749 | 2020-07-08 |
| 1700437860 | Kerry Mogavero | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-09-20 |
| 1093360992 | Jyoti Bariana | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2019-08-07 |
| 1164868295 | Barbara Von Bradsky | Physical Therapy Assistant | 1 Farm Ln # 458, Roosevelt, NJ 08555-9800 | 2013-05-15 |
| 1003161878 | Andrew Cho | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2012-07-18 |
| 1790911535 | Loretta Ann Ferrigno | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2009-06-08 |
| 1275788176 | Carol Edna Bricken | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2008-11-20 |
| 1720232812 | Angela Ankobiah | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2008-11-17 |
| 1841444080 | Marcie Lyn Casimir | Physical Therapy Assistant | 380 Washington Ave, Roosevelt, NY 11575-1845 | 2008-11-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.