Individual provider Active NPI

Peter Thomas Cracchiola, D.C.

  • Chiropractor
  • Depew, NY
National Provider Identifier
1841677879
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012648 Issued in NY
Practice address
2320 George Urban Blvd Ste 3
Depew, NY 14043-2004
Phone
(716) 395-3800
Fax
(716) 395-3802
NPI assigned
Apr 28, 2015
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012648 NY Primary

Addresses

Primary practice location

2320 George Urban Blvd Ste 3
Depew, NY 14043-2004

Mailing address

2320 George Urban Blvd Ste 3
Depew, NY 14043-2004
Phone (716) 395-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630001820 NY Practitioner - Chiropractic 1355653627 Practice locations: Depew, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012648NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Align Chiropractic Wellness, LLC Chiropractor CurrentSince Dec 1, 2019 Accepting new patients

Locations

3719 Union Rd
Ste 121
Cheektowaga, NY 14225
Phone (716) 395-3800

2300 George Urban Blvd
Ste 2
Depew, NY 14043
Phone (716) 395-3800

2320 George Urban Blvd
Ste 3
Depew, NY 14043
Phone (716) 395-3800

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1841677879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 GEORGE URBAN BLVD STE 3",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432004",
            "telephone_number": "716-395-3800",
            "fax_number": "716-395-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 GEORGE URBAN BLVD STE 3",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432004",
            "telephone_number": "716-395-3800",
            "fax_number": "716-395-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRACCHIOLA",
        "first_name": "PETER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.