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

Jacqueline Connolly

Individual provider Physical Therapy Assistant · NPI 1760509400

Jacqueline Connolly is a Physical Therapy Assistant in Roosevelt, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

380 Washington Ave
Roosevelt, NY 11575-1845
Phone: (516) 378-2000
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 002872 (NY)

Record details

NPI number1760509400
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 14, 2016
Mailing address21908 43rd Ave, Bayside, NY 11361-3523

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