Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob S Spillane

Individual provider Physical Therapist · NPI 1770241150

Jacob S Spillane is a Physical Therapist in Fayetteville, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

6800 E Genesee St
Fayetteville, NY 13066-1089
Phone: (315) 635-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 048242 (NY)

Record details

NPI number1770241150
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 2, 2021
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021
Mailing address5849 E Circle Dr Ste B, Cicero, NY 13039-8654

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