Individual provider Active NPI

Amy Elizabeth Kochersberger, DC, CACCP

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1326369836
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012013-1 Issued in NY
Practice address
1882 Winton Rd S
Rochester, NY 14618-3950
Phone
(585) 310-8900
Fax
(585) 310-8901
NPI assigned
Jun 18, 2010
Last updated
Jun 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012013 NY
Chiropractor 111N00000X X012013-1 NY Primary

Addresses

Primary practice location

1882 Winton Rd S
Rochester, NY 14618-3950

Mailing address

1882 Winton Rd S
Rochester, NY 14618-3950
Phone (585) 310-8900

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.rocfamilychiro.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000292 NY Practitioner - Chiropractic 7810173283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012013-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Family Chiropractic PC Chiropractor CurrentSince Sep 28, 2022 Accepting new patients

Locations

1882 Winton Rd S
Ste 8
Rochester, NY 14618
Phone (585) 310-8900

488 Plank Rd
Webster, NY 14580
Phone (585) 787-1310

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1326369836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183950",
            "telephone_number": "585-310-8900",
            "fax_number": "585-310-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183950",
            "telephone_number": "585-310-8900",
            "fax_number": "585-310-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHERSBERGER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "DC, CACCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012013",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012013-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.rocfamilychiro.com",
            "affiliation": "N",
            "address_1": "1882 Winton Rd S",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146183950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.