Individual provider Active NPI

Rachel Maria Reichart, MS, ATC, PES

  • Athletic Trainer
  • Buffalo, NY
National Provider Identifier
1114327863
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
003182-01 Issued in NY
Practice address
1300 Elmwood Ave
Buffalo, NY 14222-1004
Phone
(716) 878-3871
Fax
(716) 878-3536
NPI assigned
Aug 31, 2014
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X
Athletic Trainer 2255A2300X 003182-01 NY Primary

Addresses

Primary practice location

1300 Elmwood Ave
Buffalo, NY 14222-1004

Mailing address

1300 Elmwood Ave # Hous109
Buffalo, NY 14222-1004
Phone (716) 878-3871

Other practice location 1

2073 Two Rod Rd
Marilla, NY 14102-9734
Phone (716) 652-9968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
003182-01NYMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1114327863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ELMWOOD AVE # HOUS109",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221004",
            "telephone_number": "716-878-3871",
            "fax_number": "716-878-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221004",
            "telephone_number": "716-878-3871",
            "fax_number": "716-878-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2073 Two Rod Rd",
            "address_purpose": "LOCATION",
            "city": "Marilla",
            "state": "NY",
            "postal_code": "141029734",
            "country_code": "US",
            "telephone_number": "716-652-9968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHART",
        "first_name": "RACHEL",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "MS, ATC, PES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-31",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003182-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.