Individual provider Active NPI

Sasha Marie Marinaccio, D.C.

  • Chiropractor
  • Kenmore, NY
National Provider Identifier
1295044139
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011929 Issued in NY
Practice address
1567 Military Rd
Kenmore, NY 14217-1264
Phone
(716) 877-0676
Fax
(716) 877-4248
NPI assigned
Sep 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011929 NY Primary
Chiropractor 111N00000X 038011755 IL

Addresses

Primary practice location

1567 Military Rd
Kenmore, NY 14217-1264

Mailing address

1567 Military Rd
Kenmore, NY 14217-1264
Phone (716) 877-0676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000267 NY Practitioner - Chiropractic 3274713201 Reassigns benefits to 1 organization
Practice locations: Kenmore, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1567 Military Rd
Suite 1
Kenmore, NY 14217-1264
Phone (716) 877-0676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011755ILMDChiropractor
011929NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sasha Marinaccio Chiropractic PLLC Chiropractor CurrentSince Nov 29, 2025 Accepting new patients
Nagina Ahmadi Chiropractic PLLC Chiropractor PastSince Jan 5, 2026 Accepting new patients

Locations

1567 Military Rd
Ste 1
Kenmore, NY 14217
Phone (716) 507-6504

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1295044139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171264",
            "telephone_number": "716-877-0676",
            "fax_number": "716-877-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171264",
            "telephone_number": "716-877-0676",
            "fax_number": "716-877-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINACCIO",
        "first_name": "SASHA",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011929",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.