Amanda Lynn Boccio, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012592 Issued in NY

Practice address

2021 Western Ave
Suite 102
Albany, NY 12203-5069

Phone

(518) 869-3415

Fax

(518) 869-3416

NPI assigned

Feb 3, 2014

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

Specialty

Chiropractic

Education

New York Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Kim Leis-Keeling DC PLLCGroup PAC ID 4789846841, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dr. Kim Leis-Keeling, DC, PLLC

  • Sports Physician Chiropractor
  • Albany, NY
  • NPI 1619233400
  Medicare reassignment Care Compare group NPD
• Family Health & Sports Chiropractic

  • Chiropractor
  • Altamont, NY
  • NPI 1558438218
  NPD (past)

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1902229503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 GIPP RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034428",
            "telephone_number": "518-312-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 WESTERN AVE",
            "address_2": "SUITE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035069",
            "telephone_number": "518-869-3415",
            "fax_number": "518-869-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCIO",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Flower Counseling LCSW, PLLC
• Bluebridge Medical Inc
• Nicole Bobbio-Hertog, PA
• Cassidy Bobeck
• Lori A Bobersky, LMSW
• Ryan Patrick Bochacki, MD
• Jeremy Bodie-Bromberg
• Bodywork for Wellness Manual Physical Therapy&Therapeutic Massage PLLC
• John Bogardus I, COTA
• Lukasz Bogdan, MD

• Chiropractor in Albany, NY
• Providers in Albany, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.