JESSICA M MACK PT
NPI 1104859941
Specialist in Albany, NY

Active since July 07, 2006
1971 WESTERN AVE, ALBANY, NY 12203(518) 869-6220 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica M Mack Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA M MACK PT (NPI 1104859941) is an individual specialist in Albany, New York, licensed in New York (024450-1) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104859941
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJESSICA M MACKCredential: PT
Location Address1971 WESTERN AVEAlbany, NY 12203-5066
Mailing Address1971 Western AveAlbany, NY 12203-5066 · (518) 869-6220
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104859941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 024450-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1971 WESTERN AVE, Albany, NY 12203

Other Identifiers 1

Medicare ID-Type UnspecifiedRA6725NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1971 WESTERN AVE
ALBANY, NY 12203
Preventive Medicine (Occupational Medicine)
1971 WESTERN AVE
ALBANY, NY 12203
Clinic/Center (Urgent Care)
1971 WESTERN AVE
ALBANY, NY 12203
Physical Therapist
1971 WESTERN AVE
ALBANY, NY 12203
Podiatrist (Foot Surgery)
1971 WESTERN AVE
ALBANY, NY 12203
Specialist
1971 WESTERN AVE
ALBANY, NY 12203
Specialist
1971 WESTERN AVE
ALBANY, NY 12203
Dentist (Orthodontics and Dentofacial Orthopedics)
1971 WESTERN AVE
ALBANY, NY 12203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Mack's NPI number?

The NPI number for Jessica Mack is 1104859941. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Jessica Mack located?

Jessica Mack practices at 1971 Western Ave, Albany, NY 12203. The listed phone number is (518) 869-6220.

What is Jessica Mack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jessica Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.