Axis Integrative Medical, PC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

264414 Issued in NY

Legal business name

AXIS INTEGRATIVE MEDICAL, PC

Practice address

879 Commerce St
Thornwood, NY 10594-1415

Phone

(914) 747-9200

Fax

(914) 747-4406

NPI assigned

May 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Wilder Rucker, MD

Title

Owner

Phone

(914) 747-9200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noble A Thomas, DC, MSACN

  • Chiropractor
  • Hawthorne, NY
  • NPI 1831566843
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1235574963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 COMMERCE ST",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941415",
            "telephone_number": "914-747-9200",
            "fax_number": "914-747-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 COMMERCE ST",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941415",
            "telephone_number": "914-747-9200",
            "fax_number": "914-747-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS INTEGRATIVE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "WILDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-747-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "264414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Spinal Therapy and Chiropractic Care, PLLC (Chiropractic and Wellness Care)
• Nabila Al-Barghouthy, PA-C
• Sarah Amodei, LMT
• Mary F Andrews, M.S. ED.
• Peter M Angelo, L.AC
• Seunghee Bae
• Patricia Jane Barrett-Steccato
• Christine Michelle Bartlett, R.N
• Rubab Basheer, PHARM.D
• Richard Philippe Beauboeuf, PHARMD

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Thornwood, NY
• Providers in Thornwood, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.