Individual provider Active NPI

Rachael Greenwell, DPT

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1922773225
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
047373 Issued in NY
Practice address
780 8TH Ave Ste 300
New York, NY 10036-7000
Phone
(470) 275-5015
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 047373 NY Primary

Addresses

Primary practice location

780 8TH Ave Ste 300
New York, NY 10036-7000

Mailing address

1229 Johnson Ferry Rd Ste 200
Marietta, GA 30068-2720
Phone (470) 275-5015

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thayek@neurotour.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
047373NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1922773225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 JOHNSON FERRY RD STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682720",
            "telephone_number": "470-275-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 8TH AVE STE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367000",
            "telephone_number": "470-275-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "RACHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "047373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thayek@neurotour.com",
            "affiliation": "N",
            "address_1": "780 8th Ave Ste 300",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100367000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.