Active NPI
Rachel Marie Mazur, PT
- Physical Therapist
- West Seneca, NY
National Provider Identifier
1871503169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027347
- Practice address
- 52 Marann Ter
West Seneca, NY 14206-3438 - Phone
- (716) 308-2327
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 027347 | NY | Primary |
Addresses
Primary practice location
52 Marann Ter
West Seneca, NY 14206-3438
Mailing address
52 Marann Ter
West Seneca, NY 14206-3438
Phone (716) 308-2327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02695210 | Medicaid | NY |
Other names 1
- Rachel Marie Endres
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2111 Sawyer Dr
Niagara Falls, NY 14304-2975
Phone (716) 731-2195
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027347 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lingle & Mazur Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Western New York Physical and Occupational Therapy Group PLLC | Physical Therapist | Past | Accepting new patients |
| Western New York PT Group PC | Physical Therapist | Past | Accepting new patients |
Locations
2111 Sawyer Dr
Niagara Falls, NY 14304
Phone (716) 298-3504
Interoperability endpoints
- rachelmazur@duboispt.medentdirect.com
Organizations & group practices 3
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.
-
- Physical Therapist
- Niagara Falls, NY
- NPI 1477848810
-
- Physical Therapist
- Depew, NY
- NPI 1881647261
-
- Physical Therapist
- Depew, NY
- NPI 1013188341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1871503169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 MARANN TER",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142063438",
"telephone_number": "716-308-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 MARANN TER",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142063438",
"telephone_number": "716-308-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUR",
"first_name": "RACHEL",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02695210",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "ENDRES",
"middle_name": "MARIE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.