Individual provider Active NPI

Rachel E Marinucci, LMT

  • Specialist
  • Buffalo, NY
National Provider Identifier
1467695783
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016582-1 Issued in NY
Practice address
132 Vulcan St
Buffalo, NY 14207-1116
Phone
(716) 877-0676
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 016582-1 NY Primary

Addresses

Primary practice location

132 Vulcan St
Buffalo, NY 14207-1116

Mailing address

132 Vulcan St
Buffalo, NY 14207-1116
Phone (716) 877-0676

Other names 1

  • Miss Rachel E Wilkinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
016582-1NYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Chiropractic PC Past Accepting new patients

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": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1467695783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 VULCAN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071116",
            "telephone_number": "716-877-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 VULCAN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071116",
            "telephone_number": "716-877-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINUCCI",
        "first_name": "RACHEL",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "016582-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WILKINSON",
            "middle_name": "E",
            "prefix": "MISS",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.