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AXIS INTEGRATIVE MEDICAL, PC
NPI 1235574963
Neuromusculoskeletal Medicine, Sports Medicine in Thornwood, NY

Active since May 08, 2013
879 COMMERCE ST, THORNWOOD, NY 10594(914) 747-9200(914) 747-4406 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Axis Integrative Medical, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AXIS INTEGRATIVE MEDICAL, PC (NPI 1235574963) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Thornwood, New York and active in the NPI registry since May 2013. The organization lists Wilder Rucker, Owner, as its authorized official.

NPPES Registry Identity

NPI1235574963
Entity TypeOrganization
Primary Taxonomy204C00000X
Legal Business NameAXIS INTEGRATIVE MEDICAL, PC
Location Address879 COMMERCE STThornwood, NY 10594-1415
Mailing Address879 Commerce StThornwood, NY 10594-1415 · (914) 747-9200 · Fax (914) 747-4406
Phone(914) 747-9200
Fax(914) 747-4406
Organization SubpartNo
Authorized OfficialWilder RuckerOwner · (914) 747-9200
Enumeration DateMay 8, 2013
✔ NPI 1235574963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License✔ Licensed in NY · 264414
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
879 COMMERCE ST, Thornwood, NY 10594
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE DESROCHERS
Specialist
879 COMMERCE ST
THORNWOOD, NY 10594
Westchester County (914) 747-9200
ADVANCED SPINAL THERAPY AND CHIROPRACTIC CARE, PLLC
Chiropractor (Sports Physician)
879 COMMERCE ST
THORNWOOD, NY 10594
Westchester County (914) 747-9200
ANNA THERESA DAVIS LMT
Massage Therapist
879 COMMERCE ST
THORNWOOD, NY 10594
Westchester County (914) 481-5900
ALLISON K LICATA MASSAGE THERAPIST
Massage Therapist
879 COMMERCE ST
THORNWOOD, NY 10594
Westchester County (914) 481-5900
CHIROPACTIC & WELLNESS CARE, PLLC,
Chiropractor
879 COMMERCE ST
THORNWOOD, NY 10594
Westchester County (914) 747-9200
MS. SARAH AMODEI LMT
Specialist
879 COMMERCE ST
THORNWOOD, NY 10594
Westchester County (914) 747-9200
ADVANCED INTEGRATIVE MEDICAL PC
Family Medicine (Sports Medicine)
879 COMMERCE ST
THORNWOOD, NY 10594
Westchester County (914) 747-9200
DR. TINA SACCHETTI D.C.
Chiropractor
879 COMMERCE ST
THORNWOOD, NY 10594
Westchester County (914) 747-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Axis Integrative Medical, PC's NPI number?

The NPI number for Axis Integrative Medical, PC is 1235574963. It was assigned to this organization in the NPPES registry on May 8, 2013.

Where is Axis Integrative Medical, PC located?

Axis Integrative Medical, PC is located at 879 Commerce St, Thornwood, NY 10594. The listed phone number is (914) 747-9200.

What is Axis Integrative Medical, PC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Axis Integrative Medical, PC was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.