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

Jay Peacock, PT

Individual provider Physical Therapist · NPI 1235114398

Jay Peacock, PT is a Physical Therapist in Private Practice in Albany, New York. Qualified in 1999, 27 years ago. Practices with Nicolla and Associates PT and OT Services PLLC, a 28-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1367 Washington Ave Ste 100
Albany, NY 12206-1043
Phone: (518) 438-7926
Fax: (518) 438-8364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 021156-1 (NY)

Record details

NPI number1235114398
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESFebruary 7, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Nicolla And Associates Pt And Ot Services Pllc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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