Paula F Mencucci, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027629 Issued in NY

Practice address

1550 Route 488
Clifton Springs, NY 14432-9308

Phone

(315) 548-6631

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • East Syracuse, NY
  • NPI 1114067915
  NPD

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1851676332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 ROUTE 488",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "14432",
            "telephone_number": "315-548-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 ROUTE 488",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144329308",
            "telephone_number": "315-548-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCUCCI",
        "first_name": "PAULA",
        "middle_name": "F",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle McGlory-Whyte, LCSW
• Richard Jude McGowan, R.PH.
• Janell Anthony McLawrence, RN
• Allen Melody, LMSW
• Tracy Meltzer
• David Merges
• Tracy A Meyer, NP
• Nancy M Miller
• Mohammed S Rehmani Internal Medicine PC
• Les Moore, N.D.,LAC

• Physical Therapist in Clifton Springs, NY
• Providers in Clifton Springs, 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 Oct 17, 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.