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

Mrs. Jody Illingworth

Individual provider Physical Therapist · NPI 1659761146

Mrs. Jody Illingworth is a Physical Therapist in Fairport, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

4646 Nine Mile Point Rd
Fairport, NY 14450-1163
Phone: (585) 388-2374
Fax: (585) 388-2346
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 021744-1 (NY)

Record details

NPI number1659761146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2015
Last updated in NPPESFebruary 4, 2015

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