Individual provider Active NPI

Jason Rackmil, PT

  • Orthopedic Physical Therapist
  • Tonawanda, NY
National Provider Identifier
1972562999
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0265441 Issued in NY
Practice address
1060 Niagara Falls Blvd Ste 5
Tonawanda, NY 14150-9300
Phone
(716) 836-2225
Fax
(716) 836-2712
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 0265441 NY Primary

Addresses

Primary practice location

1060 Niagara Falls Blvd Ste 5
Tonawanda, NY 14150-9300

Mailing address

1060 Niagara Falls Blvd Ste 5
Tonawanda, NY 14150-9300
Phone (716) 836-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000987 NY Practitioner - Physical Therapist in Private Practice 6305800681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Buffalo School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelsior Orthopaedics LLPGroup PAC ID 2062491517, 146 clinicians

Practice addresses (Care Compare)

3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999

8750 Transit Rd
East Amherst, NY 14051-2610

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as group
Quality
89.94
Promoting interoperability
88
Improvement activities
40
Cost
82.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0265441NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Orthopaedics, LLP CurrentSince May 1, 2023 Accepting new patients
Excelsior Orthopaedics LLP Orthopedic CurrentSince May 1, 2023 Accepting new patients
Buffalo Back & Neck Physical Therapy, P.C. Orthopedic CurrentSince Jun 23, 2011 Accepting new patients

Locations

3925 Sheridan Dr
Ste 110
Amherst, NY 14226
Phone (716) 250-6500

3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500

8750 Transit Rd
Ste 100
East Amherst, NY 14051
Phone (716) 250-6500

1060 Niagara Falls Blvd
Ste 5
Tonawanda, NY 14150
Phone (716) 836-2225

1060 Niagara Falls Blvd
Tonawanda, NY 14150
Phone (716) 836-2225

Interoperability endpoints

  • Direct secure messaging: jrackmil@excelsiorortho.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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1972562999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 NIAGARA FALLS BLVD STE 5",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509300",
            "telephone_number": "716-836-2225",
            "fax_number": "716-836-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 NIAGARA FALLS BLVD STE 5",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509300",
            "telephone_number": "716-836-2225",
            "fax_number": "716-836-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKMIL",
        "first_name": "JASON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "0265441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.