Individual provider Active NPI

Rachel Marie Mazur, PT

  • Physical Therapist
  • West Seneca, NY
National Provider Identifier
1871503169
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027347 Issued in NY
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

Updated by the provider on Jul 2, 2008

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 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

IdentifierTypeStateIssuer
02695210MedicaidNY

Other names 1

  • Rachel Marie Endres Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051128000664 NY Practitioner - Physical Therapist in Private Practice 7911927595 Reassigns benefits to 1 organization

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
Lingle and Mazur Physical Therapy PCGroup PAC ID 7315105152, 6 clinicians

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

LicenseStateTypeSpecialty
027347NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lingle & Mazur Physical Therapy, PC Physical Therapist CurrentSince Jan 3, 2012 Accepting new patients
Western New York Physical and Occupational Therapy Group PLLC Physical Therapist PastSince Jan 1, 1999 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.