Individual provider Active NPI

Rachel Pandolfe, PT

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
National Provider Identifier
1184104077
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
043475 Issued in NY
Practice address
656 Elmwood Ave
Buffalo, NY 14222-1836
Phone
(716) 883-0515
Fax
(716) 883-8764
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 043475 NY Primary

Addresses

Primary practice location

656 Elmwood Ave
Buffalo, NY 14222-1836

Mailing address

656 Elmwood Ave
Buffalo, NY 14222-1836
Phone (716) 883-0515

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
043475NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1184104077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221836",
            "telephone_number": "716-883-0515",
            "fax_number": "716-883-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221836",
            "telephone_number": "716-883-0515",
            "fax_number": "716-883-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDOLFE",
        "first_name": "RACHEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "043475",
            "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 Aug 20, 2018; 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.