Organization Active NPI

Osteopathy Matters, PLLC

  • Clinic/Center
  • Ithaca, NY
National Provider Identifier
1457640229
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OSTEOPATHY MATTERS, PLLC
Practice address
200 Pleasant Grove Rd
6
Ithaca, NY 14850-2664
Phone
(607) 257-0900
Fax
(607) 257-0997
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Dr. Maria Kathleen Budner-Gentry, D.O.
Title
Owner
Phone
(607) 257-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

200 Pleasant Grove Rd
6
Ithaca, NY 14850-2664

Mailing address

200 Pleasant Grove Rd
6
Ithaca, NY 14850-2664
Phone (607) 257-0900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110708000239 NY Part B Supplier - Clinic/Group Practice 0547448847 Receives reassigned benefits from 2 practitioners
Practice locations: Ithaca, NY

National Provider Directory

National Provider Directory

Locations

200 Pleasant Grove Rd
Ste 202A
Ithaca, NY 14850
Phone (607) 257-0900

200 Pleasant Grove Rd
#6
Ithaca, NY 14850
Phone (607) 257-0900

200 Pleasant Grove Rd
Fl Second
Ithaca, NY 14850

200 Pleasant Grove Rd
Ste 6
Ithaca, NY 14850
Phone (607) 257-0900

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1457640229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PLEASANT GROVE RD",
            "address_2": "6",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502664",
            "telephone_number": "607-257-0900",
            "fax_number": "607-257-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PLEASANT GROVE RD",
            "address_2": "6",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502664",
            "telephone_number": "607-257-0900",
            "fax_number": "607-257-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHY MATTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "BUDNER-GENTRY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-257-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.