National Provider Identifier
Jody Illingworth
Jody Illingworth is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (585) 388-2374.
Profile Overview
- NPI
- 1659761146
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 04, 2015
- Last Updated
- February 04, 2015
Practice Location
- 4646 Nine Mile Point RD
- Fairport, NY 14450-1163
Phone: (585) 388-2374
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1659761146
- Entity Type
- Individual
- Last Name
- Illingworth
- First Name
- Jody
- Name Prefix
- Mrs.
- Mailing Street Address
- 4646 Nine Mile Point RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1163
- Mailing Country
- US
- Mailing Phone
- (585) 388-2374
- Mailing Fax
- (585) 388-2346
- Practice Street Address
- 4646 Nine Mile Point RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1163
- Practice Country
- US
- Practice Phone
- (585) 388-2374
- Practice Fax
- (585) 388-2346
- Enumeration Date
- February 04, 2015
- Last Updated
- February 04, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)