Rachel Boccard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041643 Issued in NY

Practice address

604 Old Liverpool Rd Ste 2
Liverpool, NY 13088-6033

Phone

(315) 635-5000

Fax

(315) 451-1752

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Soma Physical Therapy Wellness

  • Orthopedic Physical Therapist
  • Fayetteville, NY
  • NPI 1568139046
  NPD
• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1811094402
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1437679552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 FRONTAGE RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398921",
            "telephone_number": "315-635-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OLD LIVERPOOL RD STE 2",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886033",
            "telephone_number": "315-635-5000",
            "fax_number": "315-451-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCARD",
        "first_name": "RACHEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "APP-000085153",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Heick Blodgett, PA
• Kimberly Blomgren, RN
• Caitlyn Blumer, FNP
• Anthony Edward Blumetti, PH.D
• Jesmoneet Bobb-Diallo
• Diane M Bocyck, R.N.
• Jamie Bodenlos
• Leah Bombard
• Bonnie J Wolniak
• Rebecca Conklin Bono, RN

• Physical Therapist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.