Individual provider Active NPI

Rachel Ann Gulvin, DPT

  • Physical Therapist
  • Penfield, NY
National Provider Identifier
1669802971
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037147 Issued in NY
Practice address
401 Penbrooke Dr Ste 2Z
Penfield, NY 14526-2042
Phone
(585) 502-9531
Fax
(888) 799-0270
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037147 NY Primary

Addresses

Primary practice location

401 Penbrooke Dr Ste 2Z
Penfield, NY 14526-2042

Mailing address

83 Saint James Dr
Webster, NY 14580-2247
Phone (585) 502-9531

Other practice location 1

83 Saint James Dr
Webster, NY 14580-2247
Phone (585) 502-9531

Other names 1

  • Rachel Ann Koch Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140113000263 NY Practitioner - Physical Therapist in Private Practice 3870721137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Penbrooke Dr
Suite 2Z
Penfield, NY 14526-2041
Phone (585) 502-9531

83 Saint James Dr
Webster, NY 14580-2247
Phone (585) 502-9531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Physical Therapy PLLC Physical Therapist CurrentSince Jan 20, 2023 Accepting new patients

Locations

401 Penbrooke Dr
Ste 2Z
Penfield, NY 14526
Phone (585) 502-9531

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781395200000",
    "number": "1669802971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SAINT JAMES DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802247",
            "telephone_number": "585-502-9531",
            "fax_number": "585-637-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PENBROOKE DR STE 2Z",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262042",
            "telephone_number": "585-502-9531",
            "fax_number": "888-799-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Saint James Dr",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802247",
            "country_code": "US",
            "telephone_number": "585-502-9531",
            "fax_number": "585-206-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULVIN",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "KOCH",
            "middle_name": "ANN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; 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.