Provider Demographics
NPI:1669422655
Name:ONEIL, JANELLE LYNN (MSPT)
Entity type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:LYNN
Last Name:ONEIL
Suffix:
Gender:
Credentials:MSPT
Other - Prefix:MISS
Other - First Name:JANELLE
Other - Middle Name:LYNN
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:25 LIBERTY STREET
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020
Mailing Address - Country:US
Mailing Address - Phone:585-343-1840
Mailing Address - Fax:585-343-2185
Practice Address - Street 1:25 LIBERTY STREET
Practice Address - Street 2:SUITE 5
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020
Practice Address - Country:US
Practice Address - Phone:585-343-1840
Practice Address - Fax:585-343-2185
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02148001225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
106090ETOtherPREFERRED CARE
P010021480OtherBLUE CHOICE
2214712OtherUHC
7024374OtherAETNA
Q10517Medicare UPIN