Individual provider Active NPI

Rachel Suzanne Stummer, DC

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1386242246
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013316-01 Issued in NY
Practice address
1655 Elmwood Ave Ste 235
Rochester, NY 14620-3431
Phone
(585) 444-7325
Fax
(585) 991-6656
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013316-01 NY Primary

Addresses

Primary practice location

1655 Elmwood Ave Ste 235
Rochester, NY 14620-3431

Mailing address

1655 Elmwood Ave Ste 235
Rochester, NY 14620-3431
Phone (585) 444-7325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220503001839 NY Practitioner - Chiropractic 6103213533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2019
Medicare assignment
May accept Medicare assignment
Group practices
P and T Chiropractic PLLCGroup PAC ID 4385928217, 8 clinicians

Practice addresses (Care Compare)

1815 S Clinton Ave
Suite 410
Rochester, NY 14618-5722
Phone (585) 444-7325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013316-01NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
P & T Chiropractic PLLC Chiropractor CurrentSince Apr 9, 2022 Accepting new patients

Locations

1655 Elmwood Ave
Ste 235
Rochester, NY 14620
Phone (585) 444-7325

1815 S Clinton Ave
Ste 410
Rochester, NY 14618
Phone (585) 444-7325

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1386242246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 ELMWOOD AVE STE 235",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203431",
            "telephone_number": "585-444-7325",
            "fax_number": "585-991-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 ELMWOOD AVE STE 235",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203431",
            "telephone_number": "585-444-7325",
            "fax_number": "585-991-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMMER",
        "first_name": "RACHEL",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013316-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 13, 2020; 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.