Individual provider Active NPI

Rebecca Marie Pierotti, DC

  • Chiropractor
  • Syracuse, NY
National Provider Identifier
1164880191
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012799-1 Issued in NY
Practice address
6361 Thompson Rd
Suite 1
Syracuse, NY 13206-1448
Phone
(570) 401-6217
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012799-1 NY Primary

Addresses

Primary practice location

6361 Thompson Rd
Suite 1
Syracuse, NY 13206-1448

Mailing address

6361 Thompson Rd
Suite 1
Syracuse, NY 13206-1448
Phone (570) 401-6217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308002201 NY Practitioner - Chiropractic 1759687379 Practice locations: Syracuse, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3650 James St
Suite 207
Syracuse, NY 13206-2451
Phone (315) 863-3532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012799NYMDClinical Psychologist
X012799-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1164880191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6361 THOMPSON RD",
            "address_2": "SUITE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061448",
            "telephone_number": "570-401-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6361 THOMPSON RD",
            "address_2": "SUITE 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061448",
            "telephone_number": "570-401-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEROTTI",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012799-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.